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i,,PPUC.4T10N FOR RIGHI-01=-'�"!:,'( U5E PtR7�117 1 i O� :J <br /> �everelt . .. ... <br /> • I� <br /> l ITl EiVGINEERS �7 <br /> E.� ETT,WASHINGTON PEFMIT N0. � b <br /> The Undersi9ned�rl��✓f� � ��11�1� <br /> �.: v r_ �/ <br /> Hereby applies for permission to Y�Tf�+//� I�.0/ ST/r/� -'' ' ' ' ''�-�� ///�N F/�n M � � <br /> i'�i 'i 7 ' ir�1�lzT� ' n�,/ � i f�/ k'.rl v/ - - n�r- .,�i �o " D/w w�F}sFt�p�: <br /> At the following location����. i��o/'�' .F�f_� • a <br /> ,�t jE� <br /> SKETCH <br /> (Work to bc done) •,��� . <br /> L J �-I(.� `J ?x�.. /�t�- '.1 <br /> ,��•ik c�`.. _ � � .�. <br /> c I/ ` /, <br /> rr. �' � {(1��111LIr � ve ' 1 <br /> �: , � � l�� ( <br /> , - - ' <br /> � -- ----- --- - <br /> ,T—� . �--_ _ . _ . _ __ ._ . _- <br /> --- <br /> > > .-== ` - ... <br /> _ . ._ . �, , . rXYY R.IClCi�all\ .. <br /> . ._�_—. . _. _. . - _ . ___ _' � <br /> I _ _ _ . . . . . _ <br /> � ,;',v ;�;j � '�� C� 0_�] � � � <br /> ocr s »�� ' <br /> ............................. ..........................._ <br /> CITY OF EVERET i' <br /> Public \Vorks DepL <br /> _ i � • ��/�'1✓ ,L/ �� [ :. . �. <br /> � �A ' f �� ���� ' <br /> ----_— —_�:- �V � C.,,..�� �t/i/� �._�., � . . , <br /> ��l�'J�Ou� O�/ �Wi T� J•' ;� <br /> . ��� ��,! ��`�'� �-S .�/U''. <br /> .y. �. <br /> .:> C;;.C f /?'ii'7... - <br /> URIVEWAY SECTiON The undersigned owner hereby agrees to hold and I <br /> tt0 SCALE save harmless the City of Everett from any and al� <br /> --� ciaims for damages that may arise because of installa- I <br /> � tion and maintenance of the improvement hcre�o <br /> � ��P applied for and further agrees to remove same upon <br /> �j9".(.�_____-- .L3O..I notice trom the Ciry and to reptace public property <br /> dam��d thereby ('� - /,� <br /> �n� � �l ��i y�/ <br /> Si�rSature f qpplican[ �+ � <br /> .�� // �vU r'✓�@✓ GJLYY.�U�_t <br /> I <br /> � CCPY OF ?!!I$A?FLICl1TIOPi TO Address Gf��,�------ <br /> �� cE POS i eD ON J0�51-iE. J.]y- G�J'�(: _ <br /> � Telephone Number <br /> ' CALL ENGI�EERI�G�E?T.259-8811 /� _ c� _ 7� <br /> ; 23 HOURS BEFORE rGNSTRUCTION ��� 5v <br /> - — S ' Fa2 f}'DDiTlon�.a'L @L5r/,r..n/I/I<;�6 <br /> � CHECK LIST Fee���a oF D��y <br /> wacer vai�e ��, �"�����Approvals <br /> Draina9e �-""7" ,3�/'iF''� <br /> Curh& Gutier Engineers_ <br /> SiAew�-:.R Water <br /> Street <br /> Communications <br /> Inspector's Signature Traffic <br /> Planning. __ _.. <br /> Date - - - — ---- <br /> ���,,,:����. i � 6 2 5 — — <br /> nvwoved ey <br /> eUSToht¢x Date.4pproved 9 <br />