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T � � <br /> 1 . � 1 "A y1 1 4 5 �'1 1_5'} � ..} 4�. 1 2 <br /> ��'� � � � C ��11 1 i �:_.� " j(.i � �n. _ �,�f;(,;� � � ,��.A�. G 1 . 1 �.�nr I I . r v � `. �n � '.�r. <br /> � i r � � . <br /> . � 1 ' .• ���� <br /> . � � � ' _ 1 . ' � _ . � . 1 ' � � . � L ��� . <br />.r •`� �.�r': .( ��. .a �..l'`•� ��t. �i. � ., �t., ..i •,1 " ` ..�' 2 �'t"- ..�4� i <br /> ��• �• . „ APPLICATION FOR RIGHT-OF-WAY USE PERMIT � <br /> evcrett <br /> , � .. _�'i.l . _ <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMIT N0. �r-��.��'� � ; <br /> i [ (^ ! � <br /> TheUnoersigned � '-� iYt t � J � �'-Ah %t <br /> Hereby applies for pennission to �.� t; � i r� f 1 i : � (� <br /> At the followiny location S'� ' "1 r� -r l� =� /,� ,- � �,r�.-�ir" �� � � <br /> SKETCH <br /> (Work to be done�' �� ,. � �J� ' _ -. , ! � ,, � . .� <br /> � h . �' �c> t.t- f—= V ;-� , : �L-n� � � = �:; �� '_ / j,,, ,.-. <br /> �:.t,. ,� �_ , - � �: <br /> li'�= �.�.9�'�= uJ! ;t� q- � c uR,� �. G u zT�=� �f,zl� <br /> �;- s �����d��,�b pR�v��.d,pi s�c 7-r��/ G�-T.yi�k ____ <br /> , <br /> � � � � ��. <br /> A'i': w <br /> ��z i � <br /> a � .. � . . .._ .. . <br /> ' . . . . . � � ��� . <br /> - , . . . . , :� _,. <br /> F <br /> , • . . � :C'^"> <br /> . .,� . , � , ... <br /> DRIVEWA'f SECTION The undersigned owner here6y agrees [o hold and <br /> NO SCAIE save harmless the City ef Everett from any and all <br /> �— —� claims for damanes that may arise because of installa• <br /> ��i•� �ip tion and maintenance nf the improvement hereto <br /> - applied for and furthe� aycees to remove same upon <br /> ��3_0'+_ _F�— _ I 30" notice from the Ciry and to replace public property <br /> —'1' <br /> damaged themby. � <br /> Signature of Applicant <br /> � COPY OF T�:IS APPUCATIOV TO Address <br /> . % ;',:-, : �' .. <br /> BF POSTED ON J08SITE. � <br /> Telephone Number � ./� <br /> CALL ENGINFERING DEPT. 259�8811 � :� 1�Fj��� "`� " <br /> �24 HOURS BEFORF CONSTRUCTION Date — <br /> CHECK LIST Fee <br /> Water Valve Dept. Approvals <br /> Orainage <br /> Curb &Gutter Engireers <br /> Sidewalk <br /> Water_ <br /> Street � <br /> Ccmmunications <br /> Inspec[or'sSignawre Traftic - � <br /> Planning / <br /> i <br /> �bate — <br /> Remarks ' �c � <br /> ��U4:` <br /> Approved by t � ' � % <br /> . �:�� � ;..i< ;�S•'� . <br /> Date Appioved � - � � `� <br /> i <br />