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APPUCATION FOR RIGHT-OF-WAY USE PERMIT /r(ifJ + <br /> eeveren 1 O 6 Z Z �7� I <br /> , , , <br /> ✓ , <br /> CITY ENGINEERS � <br /> EVERETT,WASHING70N PERMITNO. �I�>�-�=3ro <br /> TheUndersigned_- 5�-f�/- � r2/'_��-s6i { r �VF✓e�t ��C tY�i � hc <br /> Herebyapplieiforpermistionto 'e"�y�¢ a�cantPnn�D � /�prk �-� �] H-nrino - �ctin = i �a/K � <br /> �� lLlnb. �e �_���' f_�n �Y .7Q/y7h 1 <br /> Atthefollowingla:ation��,ri,it a., :! ���fl„ • C�/ t'n.�r.r �I <br /> SKETCH <br /> (Work to be dom;) --- ' � <br /> N E,r.��T i AVE � . <br /> _ � <br /> ,R i <br /> As��h�/l ,s ra.� - � <br /> -� s"_1l� St vsin9 <br /> . •JY �5 S yri'Jd � <br /> P�� y✓uJl� I.> / i <br /> , �~%7 r (� v J f1 is� ` • i <br /> i <br /> J Ld �V GNZQ" I Nm �e.Nrit , <br /> • ' �.9/1-V.�� �I ,dM,.J,� �� <br /> ` / e' �J,jii,n 4 on <br /> G i�C' Y J <br /> c�iby s,.��. <br /> . W <br /> � <br /> � <br /> �/ati i s *,' vi,��. <br /> �Y �i' f���. <br /> C�Vv/. xor.•+� m <br /> o' <br /> u <br /> � L, t�r ef C�err�1'� <br /> Bi cF_r[-'�nnld� �'Drk- <br /> -- — � � <br /> DRrvEw.4Y SECTIDN The undersigned owner hereby agrees to hold and � <br /> I NO SCALE save harmless the City f E�erett irom any and all . <br /> f' —_- -'�------ -----alaims-fec-dema9eatMee may arise because of installa� <br /> ��� ��p tion anA maintenance of the improvement hereto <br /> • appiied for and furth^r agrees to remove same upon � <br /> '�O" I 30' notice irom the(:ity and to replace public property <br /> -_�'Y�__'_— .�._.,� i <br /> d .aged t r b . �`.vL�.�f.�� s � <br /> ' nat e o ppl�'� an������ <br /> —, � sooz � ��Lu.,�u �. F � I <br /> COPY OF THIS APPLICATION TO AdJress <br /> BEPOSTEDONJOBSITE. 7C�( k7d/ I <br /> ' Telephone N mber � <br /> � .. <br /> CP.LL FNGIME[RING DEPT. 259�IIE•11 <br /> � ��� %'.OURS i�Cf�ORE CONSTRUL'TIGN Date <br /> CHECK LIST Fee ���{) �-� � ' <br /> Water Valve �� ! <br /> Draina e Dept. ApprOvals � <br /> 9 _ � <br /> Curb&Gutter Engineers <br /> Sidewalk Warer�= \fn. z-,., f � ( � [. � <br /> TYs� !.� _�_____��� � �- <br /> . SuEet �<<GF' ��� / �. <br /> %; / i • ^ � l <br /> - f�/ �'-.�' . .-.-''� Corimunic!`ti�o s '�-::� '� � <br /> nspect�'- or e Signat�re � Treffic ��fl'� AI�Y�+�i����r � <br /> ;��': ;,.� ,� Planning����i�_— , I <br /> at� �tic,�j� 1-' � . 11 ,- i.�sr_� lC'�( i7�7 a� . <br /> `` <br /> Remarks � <br /> �- .�� Note: Original to Customer � <br /> � I <br /> 1 Con1' to Pilc ^� �1�!� L <br /> 1 Copy to Inspector Approved by <br /> Date Approved <br />