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' �_ <br />everett <br />� e <br />CITY ENGINEERS <br />EVERETT, WqSHING70N <br />The Undersigned�— <br />Hereby applies (or permission to <br />APPLICATION FOR RIGHT-OF•Wqy U E PERMIT <br />�a�� 1�.604 <br />� <br />� i�' �� _i !' <br />�r � <br />At the following location <br />SKETC� j � <br />(Work to be done) <br />�I i� <br />na..: - /� <br />.. �p/ �0� <br />PERMIT N0. % Q l� <br />. i�.y now�o.' Y.���... �.��,. ;�t,�� /. � j/1 <br />�. UYtllnn5�'. �+/�e-� . . Y ^—\ `l <br />Prav,iro„r n.o <br />r..l..-'. � p,�er � ha,:v �.d�e iu yo�,„/ � s�,-�--�v � ��, .,.� <br />- � n. ar. a�.p <br />).� �!/ � a-� LS n Yy pe I �/a.ts C : vr p: <br />Vl P <br />I � <br />�Lv ('O.00rJn:��� � • Cna�r( �u � f'biL o,-.�' c:� ,�0-1 ��y <br />z �-. <br />�� �f <br />`��bv�r� �,q.o a�rn i..,�..�„l lr1�i�:r� � <br />CUY <br />Or k vS Vit�.� p.i�°Y pYOviJ/p..t 7'Or 1 S�t�o�.n�� 'Y S�W, 1� �iau w� �awc��it'pu�� <br />y` �..�„i/� i� 7 L- ��. <br />V <br />� <br />-�-��. /�;-I��,��..����-� <br />�RIVEWAy SECTION <br />� _ NO SCq�E— <br />� —� <br />�'� LIP <br />30" _ <br />�-__,�30" I <br />_�,� <br />COPY OF THiS APPLICFlTIO rN p <br />BE POSTED ON JOBSITE, <br />CALI ENGINE[RING DEP7. 259-8877 <br />24 HOURS___-BEp��E �ONSTRUCTION <br />CH�CK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature — <br />Remarks <br />����� -.�-�'-�-�- <br />�%�,%� g <br />11604 <br />INSPECTOR'S COPY <br />+� �1 H� �-� � <br />+�, � � � �,�ak i <br />, �a ,� � � �. � <br />� v r , -� � ��. ' <br />-�� � f d �..� <br />I�. l(l^.i �� . <br />(i.�l i 1.�� ` . <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <br />tion ar.d maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the Ciry and to replace <br />damaged-thereby, Public property <br />�� � \ <br />ignature'dfAp{jlicant � <br />�_. � <br />Address <br />Telephone Number <br />Date <br />re��j`, <br />' • ��. <br />Dept. qpp�a�als <br />Approved by ' � ,� � <br />Jci / �, <br />Date qpproved � � ' <br />, � <br />7���/�� " e <br />. <br />