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, �i;� APPLICATION FOR RIGHT-OFWAY USE PERMIT 1120 $ <br /> / � <br /> J �~ �; .. , ' / , ' <br /> �'L�xi7 .: . - � , . <br /> CITY F:NGINEERS <br /> EVERETT,WqSHINGTON PERMIT N0. 7F� - I�J�J <br /> The Undersigned .1���7�1�� ��-'� �'/ �� ,! '(:.(.� <br /> Hereby applies for permission to l l '/L�/> /':-.� '. C_���` � %� l(-/✓ /? ��7� ���1 � <br /> At ihe following loeation 'Z Z- � � �". (�� C�i� _G�a�7d .��� <br /> SKETCH <br /> (Work to be done) <br /> ��C�-». out u.�� d �2t�%A� � Cv ✓� -f 9� �°" :,. / � � /��w Se<�i�K� <br /> cC .+ � KL' -..-ev,K '�- �2e� �a,r K �'O+� C . $/iL. w /�4 �o �� !O H f. �1.-��u <br /> . <br /> S �CiI IO "� • <br /> \ � ! � <br /> � / � ; r <br /> � .._ ,; <br /> �� i4, <br /> %4' <br /> DqNEwar SECrIOY The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmiess the City of Everett from any and all <br /> F - -- -- -"j daims tor damages that may arise because ot installa• <br /> I" LIP <br /> tion and maintenancc of the improvement hernro <br /> � 3�., �� 3o., applied for and further aqrees to remove same upon <br /> t'" "' � - -�--'�---� -'1' --� notice from the Ciry and to replace ublic property <br /> �----- d ma5e 11 rehy. <br /> ��� <br /> Signature of Applicant <br /> 7P'r OF� TIi15 APPLICATION TO Address _ <br /> L'G POSTEJ ON JOBSITE. <br /> Teiephone Number <br /> CALL ENGINEFRI�G DGPT. 259-8811 <br /> �2�1 IIOURS 6EFORC- CONSTRUCTION� Date <br /> CHECK LIST Fee <br /> �v.�m� vai�e De t. A rovals <br /> Orainaye � Pp <br /> Curb& Girttcr Engineeis_ <br /> Siclewalk - <br /> --- Water <br /> Streei <br /> - — Cemmunications <br /> Inspector's Signaturc <br /> Traffic <br /> Planning <br /> �ate ------- . . <br /> H�marks — <br /> 1 � � oa _ <br /> Approved by <br /> CU.a�O?i3ft Datc AnProved � <br /> i <br />