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APPLICATION FOR RfGiiT-OF•WAY USC PEftMI'� <br /> _- ,i � _% ., <br /> •�,' �„y .�. , ,_ : <br /> .;.�� � <br /> �� <br /> CITY ENGIDIFERS �,L <br /> EVERETT,VlkSHINGTON PGRftSIT NO._�� "' ? ,L�_ <br /> Thr. UnJersigned�OrJr-'.ti � J D1J:�: � ..(pr/.'.5'_��.�_�_ _ <br /> Hereby aPphe;tor permission [o�t�sl��k T � 2C� /-�'.57�'t/"i.�L i'�_ �J�Lt,/ -- <br /> At the followiny location,_p� j� F�UIc! De�{ �l�i . <br /> SKETCH <br /> (Work to be donc) � <br /> S �� �F7TNr.i-�E� <br /> � ' <br /> � , �,r <br /> DRIVEWAY SECTION Thr,undersigned owner heieby agrces to hold und <br /> RO SCALE save hannless the City of Everett from any and all <br /> F----- --� ctaims Tor damages that may arisu becau5e of instzlia� <br /> '�" L P tion and maintenance of the improveilient hereto <br /> 'applicd for and further agrees to remove same upon <br /> `„30�.,�_ ___—.�.39� noticedr� the City and to ffr placepublic property <br /> d/ ama4ad flcreby. / ���^;c:y.�Jc.�.a'.. . <br /> �— <br /> -K-,C�/L� v L n.',�:i� T-N L <br /> S'c r ature of ApP l�icant <br /> �� _ /�- i�,.� 9 � �J'1-n5� <br /> COPY OP TrIIS iiPPLICA"I ION TO A ss��j � . <br /> E3E POSTED Otd.��;,�:�i[. �S=S'-'� � _ — <br /> Te�ephone NumLer <br /> CALL FNG!NE[RItdG DEI'7. 259�&t�t l <br /> 24 IIOUR, Gc=ORE CODlSIRUCTIOM Datc <br /> CIICCI:LIS'f �---------- Fee • . -- <br /> Wacu� vaive _ Ccpt. Approvnls <br /> Diainaye <br /> Curb £<Gutter Enninccrs-------- -. <br /> Sidev+all--- . Watcr_ . <br /> Strect __.____. __ <br /> Cummunications______—___—. <br /> bispcctor'sSi7n.�;ure ------__.-- Tia(fic------- -- <br /> Planniny —'-- -- — <br /> �------- ...---- - ----- -'- <br /> l)atc — -- — -- <br /> i <br /> -----�---- -----� F <br /> -- ...--------�— -----'------- � <br /> Ramarfa --'-- ------ _ -- ---- <br /> fJntc: O�ipinal to Cu,loiuri S <br /> I Coi�\ ; � f�ilr � "-�--'---�--'-'-------`---'------ � <br /> 1 ('ni�,. :�i �i��;n�� lu� APpiovud 6y � <br /> ._ .__.-- .. . --. ... - ----. . <br /> D,;;; �tpiqw.�.f <br /> ��i <br />