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� <br /> cvcrcit APPLICATION FOR RIGHT-OF•N�AY USE P[Rh11T <br /> ;� 19_02�i <br /> ,, <br /> � <br /> CIIY ENGINEERS <br /> EVEFiETT,WA511iNGTON PERMITNO.�� �I � • <br /> The Undcrsigned �/<.,�/s'�'-n /.��/�/i� J <br /> Hereby applies for permission lo��,L�'A� �/—� /i�� �n/L(;.? r�T?� �Tf! �� i nr Fjc'1 r•i��i- f/r! � <br /> � <br /> ���� _���,/ � n , �/ 7v !%i)i'/i/�GJ' r'd f,t/S>/NG /L�� C�rJ /lfrr' Yrv� <br /> At thc tollowing ocation_�0,�/ ��l/E ST li�.��� � <br /> SKETCH � <br /> (Work to bc done) <br /> SEi . l�i T/�C�r./J <br /> '� �-d G'csyl�"f���� /Pe �sr�� � <br /> _�'irf..// C� .A-7' �joi�`� a.n� .1D� �� <br /> � '"' <br /> /��� /D . <br /> DRIVEwAY SEC7ION ' The undersigned owner hereby a9rees to hold and <br /> NO SCALE� save liarmless the City of Everett from any and all <br /> �' --"{ elaims for damages thai may arise because of installa• <br /> p• ��p tion and maintenante of the improvement hereto <br /> applicd for and further agrces to remove same upon��� <br /> � 30"� �30" . notice from the Cit and to repl ublic property '�� <br /> damaycd th:reby. � <br /> !/ � <br /> 1"1_ <br /> . $ignaturc of Applicant <br /> � � ��� ���� <br /> COPY Of- 7HIS APPUCATION TO � Address , <br /> BE POS7ED ON J06SITE. " _�ZS� 3 I Co Ke��.� �5��¢s9 <br /> � Tetephone Number ,. NOi k <br /> CALL ENGIN[ERING DEPT. 259�8811 ' 9 _ �R-7 � , � � <br /> 1.4 HOURS D[FOfiE CONSTRUCTION Date <br /> /yo �f� <br /> CHECK UST ' Fce <br /> wamr valvc ' Dept. Approvals <br /> prainage ' � <br /> Curb &Guttcr � Enginccrs <br /> Sidcwalk <br /> � Warer <br /> ' Strcet <br /> Communications <br /> Inspector's Si9naturc • ' Tro(fic <br /> Planning <br /> atc <br /> Ficmarks ' <br /> Nolc: Oriqinal lo Customcr � <br /> , �o�y �° F��� 110 2 4 <br /> � 1 Copy to Inspector l�pproved by . <br /> ' � <br />