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,� � : <br />, <br />�����•n <br />: l�� <br />� <br />� � <br />\.J <br />CITY EP:GIPJ'cERS <br />[V�°RETT. 1'lA�li INGTO� <br />A�PLICATION FOR RIGHT•OF-6Y.1Y USE PERh117 <br />"' ' -'•r rn !1:::L� � <br />The Undersiyn?d - <br />, , • • , <br />Hcreby ,r,,pf;es for permission to �,?u�'J..'; T A 1.l_/�' %i� �. '�� �:! <br />/ <br />.I. .. !� .� �.! <br />P@RP�91TM0.�=' ' _ <br />1-�' -'7- : � Gt'nii •,' i7 <br />At the follo:ving location_� •.,= ---� <br />lYVork to be done) � c� /�' ;�^• ` �Y r� <br />�� � <br />. G��2� ����/���`� � <br />�""" �� --�};,�� �!�"'.�J� o�fi�`� <br />, � _p..c.i�� - �� �'/ <br />D . � /'"" <br />�/PJ� � � <br />/ � <br />����� <br />i�� � <br />� '����,� ?� �' � � <br />` � �y�� �,��-�'" . • o,G�t�-uu-� <br />I� � ��_,�,..�-q � <br />,�� � � a�'�".-- ,� /%%�� s�r� 1 <br />�����t-°," <br />t <br />1 ry <br />DRIVEWAY SECTION <br />NO SCALE <br />r-----i <br />I" lIP <br />30" � __ --�'j�-3� <br />COPY OF TFiI; A�PUCATION TO <br />B� POSTED 0'r: JOBSI'fE. <br />CALL EtvGL'�EERING C?L-PT. 7.59�8R11 <br />24 HOURS DEf-OhL' CONSTRUCTION <br />fHFCK LISI' <br />i'la:or �/, �ve— — <br />D;ainaqA — <br />C�irb T� Gutr:r _ <br />Si�letvalk _ <br />luspector's Si9��aUiic <br />-t�.,-m" -- <br />f>.•in,uks <br />jJolc: Onyn•.il to Cuqn�ner <br />I.. .::JFdr <br />1 C, . �, Insp•r.tot <br />;�' � , ..... % % <br />i� . ' • ' <br />� <br />. <br />The undersigned owner hereby agrees [o hold and <br />save harm:ess the Ciiy of Everett from any and all <br />ciaims (or dama,:s that may arise because of instal�2- <br />tion and maintenance of the improvement hereto <br />applied tor and further agrees to remove same upon <br />notice irom the City and m replace puhlic property <br />damage t re6y, ,1 ,, . <br />� _ _ � �y ��-- <br />Si9naWre ot ApP�icant <br />7C. %/Z �Uc (� Sncl.• p8.'19d <br />Address <br />-�_ SZ�Pi _�,�� _ <br />Tcicphone Number � <br />7; .�—!G_?a _ <br />Date �� �., � <br />� (% � /� .,- <br />Fcc � <br />.oc�c./ n�,�Sq�a�s <br />Enpinec/rs� �`.�'f�_f..'L.4E'.�� <br />4Vaccr.�R�1/ �^.i . � . �%1/n.^uifr � <br />/ <br />Communications _ <br />7raffic -- --- <br />r �j�,,��—_ .�_.� ��. �� -- - <br />.;�� u��.�°� f�[1 �.�_/%�y-,�;tt�� ^,' =v�� <br />itp�nnv:al Ly'�_ _ —___.____.____ —_ <br />