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everen APPUCATION FOR RIGHT-OP-WAY t1SE PERMIT <br /> � ' 3.0472 �rV� <br /> CITYENGINEERS - I�� <br /> EVERETT,WASHINGTON PERMITNO. 7G_ � 1Of <br /> � The Undersigned_f mf��1�y/ /J t <br /> rii�.f/��S' f>�/1� �/��- <br /> Hereby a liec for pertnistion to <br /> 6 <br /> At the toliowing Iocation <br /> SKETCH �uL�E T � AVC <br /> (Work to be done) <br /> t��e <br /> C o n c .S/w�t� �`�.J . <br /> Plnnfin ^�Ff.� <br /> /p' • 30' . <br /> AreG f� 6r <br /> . 4 Occu�re�l by <br /> � AiA Gnr � <br /> — �n 1.t1 <br /> � � � <br /> i . _ + � e <br /> , � <br /> . . „�. �����' -. <br /> ��� � . �,..L � <br /> ° m <br /> � <br /> � <br /> V <br /> /.. �Y L �� <br /> �(.� .C��'� S'���- ,o��- ,� <br /> A�/J�/i.S�E✓> ,Tf>f3�'�.�'nll,T'cr/h� /�f'�Pv� <br /> � <br /> �,�F <br /> DRivEwAv SECTION The undersigned owne�hereby agrees to hold and <br /> NO SCALE save hartnless the City of Everett from any and all <br /> f' — � -� claims tor damages that may arise because of installa� <br /> p� ��p tion and maintenance of the improvement hereto <br /> applied tor and iurther agrees to remove samc upon <br /> 30" ___ __�„3o'�f notice from the City and to replace public properly <br /> n�� j �dama�edthereby, � �J e(y„ <br /> { "' <br /> Si nature of . p icant y�.. � <br /> r �1/( (� n n . /. . Y.�tI1l�1iJ-l� <br /> I COPY OF TNIS APPUCATIO�J�i0 � Add as `�— <br /> � B[ POSTED ON J085�TE. v�.5 i' - 7�V <br /> ! C.ALLENGINEf_RlflG�EPT.259�8811 Tele�ohe umf�� Ixr <br /> 12A HOt1RS GEFOHE CONSTRUCTIONI Da[�f��2� <br /> �. . ..- - � �- � ---- . __.__._. _._ '�► <br /> CH FC K L IST Fee <br /> 1"J3ter Valve D0 t. A prov s ---,� , <br /> Drainage / / <br /> Curb&Gutter Engineers �s���y� <br /> Sidewaik Wa[er <br /> Street ;�i ' <br /> Communications <br /> Inspector's Signature <br /> Traffic <br /> Plannin � � �� � - S 7y <br /> �te <br /> Remarks <br /> Note: Originai to Customer -- <br /> 1 Copy to File '�a 47 2 <br /> 1 Cupy to Inspector Approved by � <br /> Date Apjiiov <c 1 � <br />