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everen <br />� <br />CITYENGINEERS <br />EVERETT.WASHINGTON <br />APPLICATIOIV rOR RlGHT-OF-WAY USE PERMIT <br />s04;�0 <br />; i� <br />�� � ' ��i <br />PERMIT NO. 7 G - � / <br />The Undersigned r1 c, r� c-�� L, � e f�'r,� ., <br />Hereby applies for permission to i c,� � l � r � f i i' si ��.r. /1 n�in/ _ _, <br />At the followinp location 1 f 3/ D W. / F, } r r s rt.. /��'',/ %i�.,J E' <br />(Work to be done) <br />ORIVEWAY SECTION <br />NO SCALE <br />� — �^ � <br />� +I'� lIF <br />`.,30'�_ . �._.__.. . _ 13p"I <br />-�' �7 <br />COPYOF-iPI�S:�PPi icAl��i�f.�-rp- -� <br />BE POSTED ON JUF3SITE � <br />C�ALL ENG�fJEERING DEPT. 259-8871 I <br />2c ,IOUHS BEFORE C(�NSTRIICTIUf�'. <br />�..� � '�-�'a==l..... <br />Insp4ctor's Siynature <br />-'7 '- I s � / �„ <br />at�e — <br />Note• Original to Cusromer <br />1 copv to Fl�c 1. �"j [i. 5 O <br />s conv 'o Inspector - <br />���i�\�yy, <br />� „• aSNh �w\ <br />/13/U �, I\\v\\ <br />%�c Jc'c /F <br />n� �, . <br />. , .... �...ii-il. <br />�•��: , <br />��_ <br />.X,. W,1rr n, 4r� v�nr� <br />7" �n S' L. oP �, <br />The undersigned owner here6y aarees to hold end <br />save harmless the Ciry c f Everett from any and all <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applied for and further a9rees to remove same upon <br />no[ice (rom the Cily and to replace public property <br />damageii thereby. �s /..y ' � %% <br />L, `-� �/ � ' <br />_ �%/ K_�� _� <br />Signature of Applicant � � � / <br />/� � ��' e� �/.�: YX -�/�J <br />Address <br />� 5 - j'S % <br />Telephnne Number � <br />� ,_ � '.'i /y7G <br />Date '� <br />�> <br />�--;-_�=! i �i-� <br />Fee � � 7'/ <br />Dep . A prova Y <br />Engineer,' '3 <br />Watef � aN DPL /��Pe/'Sefe �Q�/� <br />4. ' <br />Sveer_��� /,�.,,,� <br />Ccmmunica[i s L"-�� <br />Traffic � ° n - <br />Planning �� l �Sp <br />� �_ <br />Approved b <br />-T���.�� <br />Date .4pproved <br />