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I� .;rru <br />I� <br />�ITY ENGINFEHS <br />EVERETT,INASHINGTON <br />APPLICATION FOR RIGHT-0F WAY USE PERf,111 <br />. . I�' �) ' . ... <br />PERA7IT N0. <br />�' — <br />1'hc Undersigned (� L" J j i=� i/ —_-- <br />i <br />Hereby applie5 for permii5ion to ^� ; iL S T�T�ic T /-} 2S �'� ni /'.1 -'r� 1>�, � - -_ _ <br />At the following locatin.�_.����_/� �/� <br />SKETCH <br />__ _- _ <br />(Woik to be donel <br />DRIVF.W��" SPCTIi:.'G <br />HO SCALE <br />1��� UP �/ i, <br />�- ---.--� },-�- <br />- POSTEDON.IUBSI7E. <br />1 EiJ� If�lEf-RIGC ❑FPL'7 �..� <br />�.�lii �[�!)itl ((��.,lft�. i!U;�; <br />', CNECK LIST <br />'�. Water Valve <br />Diainage <br />'� Gub & Gutt^_r . <br />� ��.,.,�alk . <br />Inyu�ciui'�, an:ii„lum <br />U �i.� <br />1.;�..�.�. <br />... . .',�nal lo Customr,r <br />.. .: i,�. {.i,� i f� r� ,-. r <br />i <br />l P�u unr!ri�,n�ni�d vcn��i h�ui�by .upers In h,.�ld _ind <br />sav� ha�inl�:s; Iha CitY o� Lv�.ic[t fiuni an}' .ind .��I! <br />cl�ims �or dainayes ihat muy arise 6ecause o� in ,;.'2�.r <br />tion and maintenance of the improvement hm��i�� <br />applied for and further agrees to remove samc iq,��:, <br />nouce from ihe City and to replace public prop��� ty <br />�lamaged thc by. <br />���� --- <br />Si�7natuce of App �, ant <br />� ��_/��7`!8 <br />A���e55 <br />L..-��clJl <br />Telephone umber / <br />u �J � <br />Date <br />�j S� � � '�-- <br />Fee <br />7Dept. Approvals <br />� <br />. <br />Engineers ��.1�!�,i-- <br />lYater <br />�v��et <br />Cr,mmunications <br />�i �, attic_ _ <br />Planning_ __ _ <br />��pp�oved by <br />