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, �, <br />I��. 1 <br />�;.: . ..,_�:: : __._ _.__. <br />cverc� j <br />� � <br />y� <br />� <br />Cll'Y FNGINEERS <br />LVEfETT, WABHINfsTf�N <br />APPLICATION FOR RIGHT-OF•WAY USE PERMIT 111'� 7 ��� <br />PEHMITNO. %E3`�i(�` <br />7�heUndr,rsi9n�_d--,_--(��S'�t_��,y_�__� Le-'. /��.+-� <br />Hcr�by applies for permission to ,__'—•.�:.nS.I!�1+=!_�A .2 S� � �/ v.t 4•a`l�.�i.�t�1',t,t�'�' F � <br />At tha tullowing location__;�i t_1 _. S�^ i_� n� no.��,.c�.�_ ---.-----._--- <br />SkFI'CH <br />(Wo�k to be dono� <br />� <br />� .. _ _• .__ -,.,.. .�.,..,....._. <br />U� <br />b <br />7� N AV/� � E7�k rr. � {5'n. <br />I. <br />. ;�f:.� ..J�. <br />� � �._ - -. _ ,.. � . ,.�: <br />DRIVEWAY SECTION <br />NO SCALE <br />_._______ � <br />___—_. I LIP__— ..._..� <br />- ----- <br />--- - „ � <br />------�_ -. <br />!r3C� i -- --- �- �--'----.�..?��+� <br />(COPY OP TNIS APPLICATION TO <br />! E'r POSTED ON JD651Tf. <br />I CALL ENGINEERIPlG 4EP7.2S9�SSIi <br />I24 I10URS BEFORE CONSTftUCT10N <br />------------ <br />CHEC�C LIST <br />Wator Valve <br />Drainage <br />Curh & Gutter <br />`Sidewalk � <br />Inspector's Signatura <br />Po:narks <br />�1127 <br />GUSTCMIlR <br />;�. <br />The undcrsigned owner hereby agrces to hold and <br />save hartnless ;he City of Evcrett (rom any and ail <br />claims tm damages that mny arim lu+cau.e of installa- <br />tion anri main!enancr. of the improvement hereto <br />applieA for and further ugrecs to remove samr. upon <br />�notice from the City and to replace public property <br />dLmaged thcrebx: �.� ` , <br />1' i� ���ai //` �„_._.�...., <br />Signature of Applicant ( <br />�.ii��' t-...•+sa..[s... n-�"l, /r��=��i <br />Address '� ''-- <br />'{ 1'<3— 7 7C'z� <br />Telephone Numtur <br />.:� ' / �" 71T <br />Date <br />� Qe '�� �(7�/�- �'�%� — <br />� :u@Pt. pp c Is ... /� „ <br />-if--E <br />Enyinee � � � cP•l -t CP.. <br />Water <br />Communiwtions <br />_-- <br />APPfo ed�Y .� t i-/ <br />` C�-1 '4 C �:c, ,'1_,G� <br />Date Approved c1.. I � C� l �� ° <br />