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i , --- <br /> APPLICATION FCR P.IGNT•OF•WAY USE f'EfiMIT <br /> cvcrc❑ <br /> �� 10900 <br /> CITY [NGINEERS <br /> EVERETT, WASIiINGTO PERMIT N0. � � � J ; <br /> The Undcrsigncd ����u-1 I��ySI,�-'' �'�'k�— <br /> HereGyapplicsforpermissionto �=�y�-�L���� �/Z����,�,� • �/ /����,L�- <br /> e_—/-1-v7 <br /> At thc foliowing location ���-� �����,//�.�.-��-, <br /> SKETCfi <br /> (Work to be donc) <br /> s�� ���`F�c��v . <br /> �.� 7�'G Gpr1Jy"/�,✓L� ° <br /> ��y . �/f'� . <br /> � /! �w�.r 7�.s•�. J7`/S¢S�' /oo�r��.�e 7v..�al- <br /> /'un off. �fi�... ..s1r'�7' �%+�to O�tj- <br /> J9s�il..�r� c.,.,�d t °`/fi�� os.. e,..s7� e�b.. .�,r�„�t.t, <br /> �.�- ���sa�.� fi�,.. _ � <br /> . �RIVEWAY SECTION The undcrsi�ned owner herc6y �grees to holJ and <br /> . {.� NO SCALE savc harmless the City of[vcre[t from any and all <br /> ' I -� etaims tor damages that may arise because of installa� <br /> �, _j�" Llp_ ___� tion and maintenance of the improvement hereto <br /> �30'�„_ , ..._�__ ___ ___ __�I 30" I applied for and furthcr agrees tn removc samr.upon'. � <br /> t• - 1 notice i�ont(lie Ciry and to replace public property <br /> damag therLhy, 4 ( � �/�� <br /> � � Signatur o!1p{�'t�y��`�lt"l- <br /> COPY Of- THIS nPPUCATION TO A�ss � � ' C+S t�+ <br /> BE POSTEO UN J06SITE. __1y1.�NT�_�/`/. � .;��}�,L-r� . <br /> CALL ENGIN[GRING DEPT. 259�8811 Tcicphoae Numbcr � � <br /> 77 f=�_S'7L <br /> 24 HOURS flEFOR[ CONSTRUCTION Date N ��� <br /> CHECK LIST � / �,� � <br /> Fee � <br /> Waior vaive , De�., pprovals <br /> Droina9e //{ <br /> Curb& Guttcr ' Engincers��� C/K.<.-.� <br /> Sidewalk <br /> Water <br /> Street <br /> Cammuniwtions <br /> Inspector's5i9nature � • Traffic <br /> Planning <br /> ilt� <br /> 9emarks - <br /> Jote: Original to Cusmmcr ' <br /> 1 CopY to File 10 9 0 0 <br /> 1 Copy to Inspector Approved by <br />