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� <br /> everen APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> e Zo622 <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT NO.�L�--�3C• <br /> � <br /> TheUndersigrxd .la5ea�, �Soz /ov�r , �r /�r �� Cpnfira / ionc <br /> Hereby appliec for pertnission to e�� Vc $�ccn te n n�� / p.� K � a l/ Tcttnn \r✓a/i <br /> -- 7� e�o� rv+ h:/c �l :f n� Ifov 2p�1�?b• J J <br /> ✓ <br /> Az the following location. �--•���„_,= / [��//7 – S.wr .,,��p,� <br /> ,., ' 7 � — <br /> SKETCH <br /> (Work to be done) <br /> HEWtrt qtl. <br /> –' T <br /> � y� � �� - <br /> I � <br /> o �6' G.,�.�' `�t"� <br /> da; c a ��� 5�,.�� <br /> l <br /> fl� <br /> ' � �/ ' w�� ��` <br /> dz ZO � <br /> - . �Iyy1�l♦ . ' ��� V � <br /> J ' <br /> , ���,.. ; .� , � � r � ,'r, 1 J �� , , � �,µ...; <br /> 1 ' C 'I �c,o"� <br /> � _ ` <br /> ` ? a ,�-�- <br /> D � �� };:�; s <br /> .� �� Van is 8' ��/,de <br /> �(j,.` E� �r' �o�5. <br /> C,V.W. Ba�' o <br /> ., <br /> � C�fr of �de�ctt <br /> �!i cen�s,,,,�.�1 P�rk <br /> DRrvEwaY SECT�ON The undersigned owne hereby agrees to hold and <br /> , NO SCAIE save hartnless[he Ciry f Everct[trom any and all <br /> ff�T-- -� wd may arise because of installa- <br /> I � t i" Up tion and mainrenance of the improvement hereto <br /> 30" _____�30�� I applied tor and further agrees to remove same upon <br /> �f notice irom the City and to replace pubiic properry <br /> d aged tt r b .. <br /> nat e��� ant <br /> 30o z <br /> COPY OF THIS APPLICATION TO Address ' <br /> BE POSTED ON JOBSITE. '��/ 8ZO/ <br /> CALL ENGINEERING DEPT.25f1�8811 • Telephone NLmber <br /> 24 NOURS BEFORE CONSTRUCTION Oate <br /> CIIECK LIST Fee <br /> Water Valve <br /> Drainaqe Uept. Appravals <br /> Cwb& Gutter Engineers <br /> Sidewalk <br /> Water <br /> I -!'1' �,. . � . <br /> Street <br /> � Communications <br /> Inspector's Signeture <br /> TraNic <br /> Planninp ��l'�[�y <br /> ate <br /> Remarks <br />� Note: Original to Customer <br />� 1 Copy [o File 10 6 2 2 <br />, 1 Copy to Inspeetor Approved by <br />