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APPLICATION FOR RIGHT-OF-WAY 'JSE PERMIT <br /> � evcrcp �O�Q? <br /> � ( <br /> CITY ENGINEERS �.� % <br /> EVERETT,WASHINGTON / PERMIT N0. �� — " � <br />� The��ndersigned �� /�.� !l��J /Y ',,� 1� �1, ���� �� �.. ��,I!11 �!. :l��._; l II. L� <br />� Hereby appiies for permission to L A N D S C A (� � �11' f �\ �J�✓ I 'V�J� 1 �� L C <br />, �JJ�%l 1�J(_, <br /> .. ' At the following lotation � � �� �_ UL L y <br /> ! D T l5 ,' IG <br />� � SKETCH � ���",', <br /> .. � (Work to be done) � ` '� v <br /> l, <br /> i � , ,J E'xISTINr CuxB. [;u�7'� �f l�Na <br /> �iI r ,, , �IA� LUNIk <br /> �; \ - - — _ - <br />, , �. � � <br /> �� �� � � �... � <br /> � ^ `- � <br /> ; <br />' � �T t i <br /> � ; � � �� � <br /> � j 3s2� <br /> ` J� � <br /> y"., _ ,.... _____ ' <br /> 1 <br /> `�' ' ---� — ;�� N�UI LAIJQSCA �'lur <br /> � CT y 1?) � <br /> �� �� � <br />, ' tr _r_ .. <br /> j � <br /> , NO SCAI� � <br /> +�--fN� OJ` .SIAE Ul: � :c __ <br /> � i8' �c,����� <br /> � <br />�I � � � <br /> I (>� P� <br />� DRIVEwnY 9ECTION The undersigned owner hereby agrees to hold and , <br /> � NO SCALE save harmless the City of Everntt from any and all � <br />�j , F— — -� claims for dama9es that may arise because ot installa- <br />!- I tion and maintenance of [he improvement hereto <br /> a� iE <br /> applied for and turther agrees to remove same upon <br /> � �30'+. _ __,.{„3� noti f om the City nd o replace public property ' <br /> i, ' dam e�therebY. � <br /> C}�,,���, � Signamr ot App icant <br /> 9��0 ,�vr--a.�n.is,F�v [,.JAti/ <br /> COPV OF THIS APPLICA7IUN TO Addrecs <br /> OE POSTED ON JODSITE. 3S � - 77d b <br /> I Teiephone Num r <br />� � fALL EFJGINEERING DEPL 259-8R71 ��� � � L �,�, 7��S� 7s <br />' � Date <br /> � IIOURS GLPORE f,OWSIHUC-IIpfJ; � rJC� . '�� <br /> � �y�� FtE <br /> �� �� CHECK LIST Fee <br /> Waier vaive i D �L App ovals <br /> Drainage / ( - D <br /> Curb&Gutter i Engineer ����'-�� V _7f <br /> i Sidewalk Water '� ' <br /> Street ��{.'`�^Y % <br /> �� Communicati_- or�s�l• .� .•�.1>_ �-5-7�� <br /> li 'nspeclor'sSi�nature Traific �/� -�' � <br /> � <br /> ; Planning c%�� -.�JT 7.�� <br /> at� <br /> '� Remarks 1 ' <br />, Note: Originai to Customer <br /> 7CopytaFiie 10�47 � <br /> I 1 Copy to Inspector . Appro�d laf� ��✓ p�/7� . <br /> �C.l:�.l� . c" <br /> j �"• - Dat ApP oved <br />� <br /> L <br />