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� � <br />��'w7'���. T^L � <br />" �verc{t . <br />. � <br />CIIY LNGINEEHS <br />EVL-RETT. VJnSHINGTON <br />A?PLICATIUN FOR RtCiHT-OF�WAY USF-PERMIT �� 1`G 7 <br />PERMITNO. %�'-�{C) ___ <br />The•Undeisiyned _ I� E� �i : •� 6.+.r � J� Z.C>� / �� .i v. � -- <br />Hcreby applies for pcimission to �-c7n s?k v: i .2 � S� �/ c•;f [.��.,�� -�� S�_'f1Z}/ � j —__ <br />--- - - - -.. _-�---- <br />At iho lullowing localion_ L^G l si). .� /!O-ritT t�_+�____ — __ ._ .��_ <br />SKETCH <br />(W�rk lo be donc) <br />� <br />r' lynw,�i /-t�n jf+�S A/;�vcLw'+y <br />,;��s'.H(, f <br />I COPY OF THIS APPLICATION TO <br />, R[ POSTED ON JDBSIT[. <br />I CALL ENGW[[RING DEPT.75D�6811 <br />j 24 HOURS BEFORE CONSTRUCTION <br />CFIECK LIST <br />Water Valve <br />Drainage <br />Curb & Guttcr , <br />Sicicwalk <br />Inspector's Si9nature <br />Remarks <br />\\': <br />) Z ���.s4' � y <br />% � �'' '4`'1` <br />CU570MBR <br />Z <br />� 4 <br />i� <br />� <br />--� � L <br />c <br />c� <br />F� <br />� <br />The undersi�ned owner here6y agrees to hold and <br />save liarmless the City of Everett from any and all <br />claims tor dama�es that may arise because of installa� <br />tion and maiotenance of thc imprnvemeat hereto <br />applied for and furthcr egrecs to remove same upon <br />V�otice from the Ciry and to replace public properry <br />dartlage� therebK: �,� ', ��'� <br />r. <br />!����-s�_s�' �� �.i' �tz--�����-. <br />Siynatum of Applicant — <br />! <br />/,2 /� _ F._... �,-<r`.. �L .�� iC�lc'� <br />AdAress <br />'j ; .'f - 7 7c?L� <br />Tc�ephonc M1umbcr <br />:! _ / L- 7 �-- - ----- <br />-- --.._. <br />Oate <br />Dept. Approva!s <br />Ccmmuni,:ations <br />Tratti� <br />Appro��ed by <br />Datc Approved � <br />.�� <br />7 <br />