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APPLICATION FOR RIGHT-OF-WP.Y USE PERMI; �.1373 1\ <br /> rveretl <br /> � �� \ <br /> CITY [NGIN6?RS <br /> EVERFTT, R'ASHtNGTON PERMITNO. 7(i �r�7 � <br /> The Unde:si�ned G\/C�A'F-7-i' �p j����v �; . �_�_ <br /> {__��s�. <br /> Hereby applies for permission to �. nN �� T2 Q "�'J i— � G�-�/� ���v . <br /> , <br /> At the following location �2�. � ,�' r .m r-'i" (!C' <br /> ti <br /> SKETCH <br /> (Work to be done) . . . - � <br /> I <br /> I1� A/•i" l <br /> , � .rl`, � ,_: - <br /> �. <br /> � <br /> ( <br /> i <br /> L�.�� �D GOn�TJ . <br /> Sialeu�,�,e etit.6 _�.,�r.�xt �r.r�ir� �,�i/ .;".�z. �`o t� ��:.r���:.t <br /> J <br /> ,c .�.e� �c'-P/�ee-� ;�:� D.zii,a._.-..i.�y :r.�•-.c!zroCc . <br /> / <br /> '���� �0-//-78 <br /> ORIVEWAY SECTION The undersigned owser hereby agrees to hold and <br /> NO SCALE save h;�rmless the City of Fverett from any and all <br /> � —� claims for dama9es that may ar�se because of instaila- <br /> �_�ua tion and maintenance of the improvement hereio <br /> 30" _ _ 3p^� applied for and further agrees to remove:ame upon <br /> notice from Ihe Ciry and to replace pu6lic property <br /> damag d there6y G sQL LC?/YJ-j/jJ <br /> �i� •,_ C.. r � <br /> Sic�naturc of Applicant <br /> CO?Y OF THIS APPLICATION TO Addr~ess� �n" <br /> DE POSTED ON J09SITE. ;ti�� � ,� -� f \ � <br /> CALL ENGIN�ERING DEPT. 25&A611 Telephone Number <br /> 2q HOURS BEFORE CONSTRUCTION DatLY I �� <br /> � CHECK LIST Fee <br /> Watxr Valve <br /> � Drainage Dept. Approval5 <br /> Curb&Gutter Engineers <br /> Sidewalk _ <br /> — Water <br /> Street <br /> � Inspector'sSi�nature Communications _ <br /> Traftic <br /> Planning — <br /> �re — - <br /> Remark; � � � �� �. <br /> . Approved 6y <br /> �---_-- <br /> CU970MER Date App;oved 6 <br />