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- , <br /> APPLICATION FOR RIGHT-OF•WAY USE PERMIT 11627 <br /> everett <br /> �� � �/�(li'�/�'�,�r'.-I <br /> CITY ENGINEERS PERMIT N0. �v '�� ,� �SJ/ <br /> EVENETT,WASHINGTON <br /> TheUndeniqrxd. `•. ` • - <br /> Henby ap;�lies for pertnitsion to � [o s f .j.f=" "� � r i rr� ' � 's T Si n ' � " F ��1���� f� �r. <br /> T,!' a nl� r �' �l� vl�.�,.. T._ a• - Ai37f �.e F /' �'� iSit�CT1 � � r'4C�r✓S <br /> At the fcllowing�ocation�^��� T'� _ �.a�t�n _�Q L S � `� FA,2 iC �� "lb rz <br /> Ti2iSri �� ��.v I' �»L�S� <br /> SKETCH � <br /> (Work to be done) <br /> -�,:,,y ._____ _� ---- --— ---- __ <br /> E�ti ` ;,.Nc, � n;:� ., , T�b:.' � <br /> �� 2 U V.1. I�.• . <br /> I C � � . <br /> KF� ;.:cr_D C�ocVec' r.>Y.)� i?Pw'ox . . . :� ., - , y . <br /> /, Gi<N+D /1 vc' <br /> �r <br /> �.,,. , <br /> , , ; ,, - <br /> c,,...�._.,�-- - - _ _ <br /> _ __ _ _ _ <br /> ___ __ _ __ ,_ _ ____-__�l . <br /> /�1 q r iC1 i R� �c.J / Z� C L Fe�J RfJ/ll� G ,(3t Tl.L�E.�/U ;>� . • <br /> � <br /> � � c� T��G/�tlE � fi" C��'s4 �JC� /liUD r�Cir� o� � ,. <br /> , ; <br /> 7���3!�. ER <br /> ; <br /> DRIVEWA� SECTioN The underoigned owner hereby prees to hold and <br /> NO SCAIE save hartnless Me City of Everett from anV and all <br /> . I.� ---� claims fo••damages tfiat msy arise lxcsuse of instaiu- <br /> � tion and maintenance of the improvement hercto <br /> Y' LIP �� applied for and further agroes to remove same upon <br /> ' I 30"I_ � 3��� notice from the City and to replece public property <br /> � r damaged tliereby. � �' . <br /> -s..�:.��..�7: .;:- <br /> Signature of FySplicBnt .. ��� <br /> �D')� lC)Th �;.i ^./J' lJ ,•�ec/�/ •_.y,'_', <br /> , COPY OF THI£APPUCATION TO Address 5'f;z_9,: <br /> BE POSTED ON JOBSITE. SL` �'! <br /> Telephone Number <br /> � CALL ENGINEERING DEPT.259-BBt t /C�- `7 - 7,'-t <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> � ,v � r'c w <br /> CHECK LIST Fee <br /> ' Wabr Va1ve Dept. Approvals <br /> Drainape <br /> Curb 6 Gutter Engineers � � <br /> Sidewalk � Water <br /> �1 � Street _ � <br /> / <br /> G � � � � � <br /> � ' - Communications_ <br /> �- / • <br /> Inspector's Signatu Traffic <br /> , .� Planning � <br />