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-� �'� everett �� � <br />... 6 � <br />I <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />APPLICATION FOR FiIGHT•OF-WAY USE PERMIT ; j; '�_ <br />1 <br />�' <br />., i� / <br />PERMIT P10. � � <br />The Undersigned <br />Hereby applies for permission to ��� <br />_ -, c I L <br />At the following I <br />(Work to be donc) <br />c_ "1 t�� . <br />j <br />�C_l� � <br />. .� ; . , �i r ��- <br />t�" <br />;�, r>(C� <br />I <br />i ( <br />_, ,�!C� ( <- j' � _ _ <br />_� � (;;� ,' � ,_ ; . ,_ . - � - , <br />�C n �I �,J� G <br />\ � � �1. / l.. �.'" ( � <br />„��7�'�`v��--� 5 �'�' �' <br />{ �� «�I i=; ; <br />��;,� ���-�re e <br />��,�—�� `� �,�.�— J <br />� � {,l.)c �SI.���c,cL.Q i, �a�ic(;_�U <br />� _ „� C�,����� �i'� � � } � {1— }I <br />.. ., i. y� . , (. :� !�-` L�:( W V 1� �. <br />� '.�.(. . i �. . ,_ .- . /� . <br />1J <br />,rla�c`,�C�;;, i� <br />��) V � • �'. / � � i i <br />-� j , � <br />�:Jr R: lf[L���/� t, � � -' � <br />, �� _ �� � _ � �-�� �ll �-k` <br />`����f� ���� � � � (FC� W u�. <br />�._ � �. �'� , <br />�,,�;rt.� -�� I�� �"��`' � � �_. <br />; �� , �w� �.;: <br />�� U�. �L% <br />�:: �� � �' � � (� �� � ��� ti '� c.-,.� �' � <br />u ��,�,�. i_�� � �-�- <br />�, �, <br />,, <br />DRIVEWAY SECTIGN <br />NO SCALE � <br />r` +I'� LIP � <br />`_ —� <br />�3�_ I 3�„ <br />—_•T� <br />lf��. <br />�COPY Of- THIS �PPLICATION TO <br />6F POS7EU ON JORSITE. <br />CAI.L ENGINEERING DEPT. 259-66 i 1 <br />14 HOURS BFPORF CONSTRUCTION <br />CHECK L�S'� <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />The undersigned owner hereby agrees to hold and <br />save harmless :he City of Everett from any and all <br />claims for damages [hat may aris^ because of installa� <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replsce public pruperry <br />damaged there6y.�, , . <br />,Signature of Applicant � <br />AdJress <br />Telephone Numb:r � <br />Date <br />Dept. Approvals <br />Communications <br />Planning <br />lpproved by . j� •. - � <br />� ; � •_� � <br />— � � <br />Dacc Approved _ � �.j .�; �� , <br />. ._ _ .. . ___. _ _ ..... .. _ .... _.. ._._ . .. <br />�• � c � i.;.;-i:u-�,{ ra:m, <br />. w .� �3-f?e� .�3H"q _. . �z-.0.. `vr�iS im��.�lb��_ _. . <br />