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r--1 LPP!IC}. . ION FOR RIGHT•OF-WAY USE PERMIT <br /> I ••,c•c;t � - • <br /> � �' � 1. 1 l,3 � ; <br /> �.',..� � <br /> CITY ENGIN[ERS � <br /> EVERETT, WASHINGTO�� PERMITNO. 7? .> � i <br /> The Undersigned �� �-��''+/�l�f�'�/ I <br /> J �Hcrebyappliesforpermissionto �(1f�ST.?UGT /� 9 S � P.R,q��RG_�`���i <br /> � <br /> At the following location�`' -Li// ��, f-NWiz-oh Aii,E. _ <br /> SKETCH <br /> fWork to be done) � . � � � , <br /> � C E E �Tl/�'Gffd�U <br /> , <br /> �.� 7�a Co.7d7`"�irl'�j , <br /> i <br /> ���� ^ J- <br /> /�' � � �� <br /> ��7 7 1��� <br /> . / � O <br /> � � 1� � <br /> `�,1�� 5, � <br /> ,I <br /> . � l� <br /> . � . <br /> _ �� ��� <br /> � , <br /> �� , -i � <br /> �r^ . ��" � <br /> DRWEWaY SECTION V The undersigned o�vner here5y agrees to hoid and � <br /> NO SCALE save harmiecs Ihe City nf Everett from any and all <br /> �'—'--- —� claims for d•.zrages that may arise 6ecause of installa• <br /> I" LIP lion an ainten3nce of the improvemen[hereto <br /> ' app d tor and �rther agree to .��ve same upon <br /> 30" .L30"J n ice � �th Ciry and pla public properry . <br /> aT- i e y. � <br /> c�' rY� <br /> � S�gnaiure of Applicant '--�-r(�'3.03 <br /> • /r9// ���,c%v �2 f�c•�'�f <br /> COPY OF THIS APPUCATION TO Address <br /> I8E POSTED ON JOBSITE: Z� �'—J 3�7� <br /> Teiephp�,e���ber <br /> CALL EWGINEERING DEPT.25'J�8671 N� :7Y . <br /> 24 HOURS DEFORE CONSTRUCTION Date <br /> CHECK LIST Fee /y � <br /> Wator Valve Dept. Approvals <br /> Drainagc <br /> Cur6 F+Gutrer � En9incers C ��4/` 's�% <br /> Sidewalk Water <br /> Street <br /> Communications <br /> Inspector's Signat�re Traftic <br /> Planning <br /> ate � <br /> Remarks � <br /> Note: Oripinal m Customer <br /> , �oPY to F;�� 110 3 7 " - <br /> 1 Copy to Inspector Approved by <br /> Date Approved , <br /> � <br />