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everett <br />_� <br />CITY ENGINEERS <br />EVERET'I", WASHINGTON <br />APPLICASION FOR RIGHT-GF-WAY USE PEFlMIT <br />�006� <br />PERMIT NO. !'-F�- � � / `� _ <br />Af.4he following location� '�r'�yl? p i++rs7- � � 7� � b�/-�p�F��-�T �^ <br />SKETCH <br />(Work to be done) <br />EX <br />-ST <br />z zs <br />FENC <br />PRo s� � <br />F�i� E � <br />rf <br />� �RIVEWAY SECTION <br />NC' E <br />� I IP —� <br />i�G� -___ —_ .�3G i <br />-'— 4 <br />Z <br />�7oz '" <br />r <br />-� � <br />W <br />v <br />u <br />� <br />� <br />0 <br />�c- -iF.l -�- -ir <br />�� <br />cF <br />�- C3UIC.t�ING PE�PM/T I�EnJlR�D FG�R <br />N�W �Elv�� ON �i J✓ATE Pft'OP, <br />� — -- <br />COPY OF THIS nPPI_IC�TION�TO <br />8E POSTE� ON JOBSITE. <br />�ALL FMG1�]CLHIf�(i DEPT. 25&8811 / ����y� <br />�24 I-�OURS L'LfOR[ CONSTRUCTION. � � `- • <br />i <br />� I /�� = <br />CHECK LIST <br />Wator Valve /�� � <br />Drainagr. � i/V%�� � <br />Curb & Gut¢er � ��R � <br />Sidewalk /� � <br />G / � <br />'—Y pec(or's 'ignaba� � <br />-� e ' .� _ fT �-� <br />Note: Origina: ro Customer <br />, c���Y co F�iP <br />7 Copy to Inspec[or <br />'1_C If �� <br />1 Q� , <br />I � �i <br />C I�'� <br />�'J, � SGnLE� <br />�I <br />�i <br />The undersigded own �- herehy agre�s to hold and <br />save harmless�[he Ciry of Everett from any and all <br />claims for damao_es thr: may a!ise because of installa- <br />tion and main[enance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />damaged therehy. � <br />L.�i r ��i..' i iC.�.�` _/� �: � _ <br />Sfgnawre of Appliaaht � <br />%O ) � L� �� i � Q r'G� <br />.4ddress � �.� ,� - / /y � c�U 1'�1� <br />�'�- ;l,�;G-�li�i ,��_)uC/ ��Cu� <br />Telephone Number � <br />Date L—� <br />i.ln FF� <br />F"�e <br />/V.%�%��. De t. A prov s <br />9-Z3 �% 9 �� <br />Engineers� <br />Water `� <br />Street / -= ' <br />` � +_G � <br />Communication;�i�_._,..,,��.�'i%" �/ .. <br />Traffic � ��� � ,- .i i S�/�"�_ <br />�" i,: � d <br />Planning L�y <br />sans3 � - <br />Apnroved by <br />("-� <br />Date np{n�d <br />Gr�J: /(o, ,'7'� <br />