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//.. � ��. Y.-' �� ., . ., . , . .. . .�: � .- � . . __..__ <br /> I c:•e.cn APPLICqTION FOF, R13ffT-OF•WAY USE PERMIT �1 9 9 -7 <br /> 1 1 <br /> 'L`S� <br /> CITY [NGINEERS <br /> � <br /> EVERETT, 6yqSliINGTON <br /> PERM17 N0. 78 - / ( g <br /> The Undersigned <br /> Hereby applies for permission [o S-i:��� C � - <br /> —1�` -___n P('� x ��.� c�� 4, c���7- .�r ,L�, <br /> _�.t�v.i��_—cf_ !ti i i ��;� c-P i� � n ----�--� <br /> At [he follo•.vin � �N/���'�'-��-'� ��' `/ �' 'Y-� <br /> g lota[ion. � ����_-- L� % / 5�L c t,r P i0.1(] � <br /> lOG��_ 7 f' L-D'�4L_C11�— <br /> SY.ETCH /' <br /> (LVork to Ue done) ! � � � , <br /> ' <br /> G� '� Z�• , . � i.,a�. \ <br /> � ' �_, � o C�'..+Gi:cr�s ��ccC.rr' '� Scn.0 oc i> '� Cnuc2crc A�v.. �uu�nN�. <br /> ---_---���_-- --- ____�l <br /> -� �:� . .------ I ���w / <br /> .__ .._.y �A ( <br /> \ . _ . - _ �—�._- -- - - __-----� --` . <br /> i � --------� <br /> rJ L Og <br /> � �-I ot_.�� "✓ P '. JL <br /> i <br /> _ __ _�_ - -- � ' ��z c Sr,��rr�� 6 0' <br /> � ---- - I <br /> , � � A PPa�v � �u :,r��.-� <br /> � ` OC OPr� 1�� TCI-� . <br /> ; _ __-- ------ 1 <br /> __.—_ �CoPoSC to E.ou..p�r,ir <br /> � � Z�� <br /> GoN CqGrC <br /> , � : . "� , � , P��� ti„� k A ��� <br /> ^ � CnvErC. <br /> /�/ �. . . � ;� � . . , '/rv, . �". '/. .. �Pll. lS �oQ�'AP'(7' t� <br /> / <br /> � - - -rr� ti, y� ,. -t-o P <br /> +oor <br /> .7�J / MQX . Q�IDCUq � �E <br /> t LUGa �'InN IS FlYo�.<n.r <br /> ��� W � r_C tf7 <br /> � ou� 5 <br /> �l1TF (`P <br /> Govt:� �.� -�:�z. , ,�c . <br /> DRiVLWAY SECTION <br /> NO SCAf.E Thr undersiyned ownen c�reby aqrees to hold and <br /> � -- ---� save harmless the City of Everett from any and ail <br /> - -� claimz for damages that may arise becau;.� of insWfla- <br /> - �-�- -���� ��� tion and main[enance of the improvement hereto <br /> -- <br /> 1 - _ - <br /> �';�^-� !i;%"�f applied for and (ur(her agrees to remove same upon <br /> notice from the City and to replace puhlic property <br /> damaged t�ierehy, <br /> �� --�t _ , <br /> �•ti / /� Q �� <br /> ..__ Signnure of App�icant ----�- <br /> i COPY Ui T!ilj q?pLI�qTIOV TG -� �i i� ) �" �/n--Lc � oi . i�PY�U <br /> Address � <br /> ; CEPO;rED "U:aJ0351TE. ' --- � <br /> � V� 4'G <br /> � CALL E'JG�I��-ERItvG DcPL '259�8811I Telephone Num6er -- <br /> � ''. HDURS BcFGF� � <br /> �' _--- _ - - - -.-CONSTRUCTIOtiJ --�'Dji,• y� �r - - <br /> Datc <br /> CHECK LIST <br /> 1Vntei Velve Fcc -� --- -- --_ <br /> Drainape Dept. Approvals -- <br /> Curh &Guttcr <br /> :iid�•�v,il� � Engineers <br /> _. - __ . _------ ---�'_------ �- <br /> �Vatcr --- -�---- <br /> Street -----�--- <br /> ���'.i��'ctnr's Siqnatu.e ---- Cemrpunications�_____ <br /> Tr�ffir. �—" <br /> _ FL:nnin _—__'-__ _.___-. <br /> n.�ic _-___.—_--__ __._ 9___—____ <br />