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- eNeren <br /> APPLICATION FOR RIGHT•OF•WAY USE PERMIT � 1�,20 <br /> ,� <br /> CITY ENGINEEFS <br /> FVERETT,WASHINGTON PERMIT N0._ 7L� —s5 <br /> The Undersigned_ .:.s�G�+•�� �-- i _..� J i'y'r� � .l' ('� . <br /> ., ..�1 , ,�, . Hercby applies for perrt�js ion ro ��c.-r-�� io.�i, _ � <br /> � ; <br /> At the following location �� i /�_� � Y� l f� <br /> SKETCH <br /> (Work to be donc) �� _ ��J r��;P Ce'��; \��'e � <br /> � <br /> I . <br /> ..�+ � � ' ----`I <br /> � ,! <br /> L- <br /> �/��y'/I c N �/ � J. <br /> /C ���s fl�i�/ ' � � <br /> ,4� t� ' � <br /> .� �� \ <br /> � <br /> ��, a�� ���p�T �___� <br /> ,�rin� �` ,> � , —r--- <br /> � ��,,�,< ls � � <br /> . irFt< <br /> - � - <br /> --------�''�I Q w�tik ------ '� <br /> : ,r , � ---�\___ __ _ <br /> � � C��� . �Zn�� � s} T�_�.�u,n� �ol�, <br /> J Ct-E, 3 1 F� ��-th,., „ac'- <br /> <`ho��F Chci�e_ c� F��.��v_ . <br /> ORIVEWAY SECTION The undersigned owner hereby apress to hold and <br /> NO SCALE save harmiess the City of Everett from any and nll <br /> � - � claims for damages that may arise 6ecause of installa� <br /> �I" LIP tion and maintenancc of the improvement hcreto <br /> 30"L—�� � _,` I 30" I applicd tor and further agrces to remove same upon <br /> r �-- " --'t' "1 notice fiom the Ciry and to replace public properry <br /> dam(,ed thereby, �l � � <br /> � \ l <br /> Si� ure of Applicant 1 <br /> COPY OF THIS APPL�CATION TO �Ji�1}r� ^ �'*��p�A � <br /> Address <br /> BE POSTED ON JOBSITE. _�j_' 1 � ��11 U <br /> Tejephor,�e Numbi� <br /> CALL ENGINEERING DEPT.2548811 7,1 <br /> 24 HOURS BEFORE CONSTRUCTION Date � . <br /> CHECK LIST l_'/ <br /> Fee <br /> Wat�r Valve De t A rovals <br /> Orainage P • PP <br /> Curb&Gutter Engineers_ <br /> Sidewalk � <br /> Water_ <br /> Street <br /> Inspector'sSignature Communicatio s <br /> TraHic� 3�Z7 7� <br /> . Planning <br /> ate <br /> Remarks � �� n O <br /> C <br /> Approved by <br /> � CU67'OM[R Datc Approved 0 <br /> a <br />