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Ai'PLICATION FOR RIGHT-OF-�YAY US[ PERflIIT � I <br /> 10989 <br /> ��v�r <br /> CITY ENGINEERS . �� J <br /> EVER[TT,VJASHI-�� �� � ` 'e PERNI'f W0. X <br /> Thc Undcrsigned �. �2� J <br /> �eby applics tor permis•i n �o ��= /�� � i �- _ �i° — �_� � , �'��- <br /> �--"—P� j' � (;_ s �'i L G• + c� L i n �� .o l sL. . <br /> At the following loca(ion� ��-•���L�� �/���'— �/�O �G.1�� G����� , <br /> �7 l-� � �—� <br /> �_�� > �-�- <br /> SKETGhI ——�"� <br /> (rJork ro be done) /S� � . � <br /> \ � � - . � /1��.. ' <br /> � a�it���- � <br /> �- . <br /> 4� �� � �� <br /> •� . � � <br /> �\� , <br /> _ � 6 � . <br /> � . , o � ,� • � <br /> � � p� = , <br /> � <br /> s" �.C� � 3 _ �, � 1 v <br /> l . � CI F j ' � � � <br /> � - � ;; " o a <br /> � � � �� � ..� <br /> � � � ^4 �� <br /> V <br /> -1� � <br /> �� !_ t •'.. / <br /> �,3.�- . .. <br /> 1��. , �/��� a.� II � <br /> i <br /> sQu,er Tv 6d <br /> c�.��.µ . �u� I -f- <br /> . . D u'� . <br /> � �RIV[YlAY SECTION Thc undersigned ownen c�reby agrees to hold and <br /> . NO SCnLE save harmless the City of Everett from any and ail <br /> L.-- � <br /> I � elaims for damages that may arise because ot installa� <br /> ' ��� LIP � tion and maintenance of the improvement hereto { <br /> applicd for and further agrecs to remove same upon <br /> 30" I 30" I <br /> �� nOtice frpm e CiN and to replace public property <br /> d, �d t{{cr by.� ���� <br /> 6,�C1— � <br /> '�wp�L�.�1�P i�ant � <br /> �'C <br /> COPY OF THIS APPUCnTION TO ��gi s �"�� �� � � <br /> BE PUSTED ON J0651TE. �S ,.�7 � 1��7� . <br /> Tel honc Numt <br /> CALL ENGINEERING DEPT. 259�8811 ��' z�f <br /> �f`t_-� <br /> 24 HOURS OEFORE CONSTRUCTION • Datc � <br /> CHECK LIST �� ��` <br /> Fee <br /> Waror Valve �����aIS <br /> Draina9c � ' <br /> Curb& GuL'er � . Engincr.rs I <br /> Sidewalk <br /> Water <br /> Slrect <br /> Communications <br /> Inspecmr'sSi9nature � Traffic � <br /> Planning <br /> ete . <br /> Remarks � <br /> Notc: Oriqinol to Customcr <br /> , �o,,, �� F��� 109 � 9 <br /> 1 Copy w Iropcc�nr . Apprnved by • <br /> Datc App�evcd <br />