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. _.t . . . .J�.. � 1 . <br /> � . �y . <br /> _ . _ - <br /> .�-- _. _ _ . _- --�----�_- ------ -- -_ . <br /> .: �- --- -�----.. .- -- ---�--- - - ---- <br /> -, - �- - - _ <br /> everen APPLlCATION FOR RIGHI'•OF-WAY USE PERh11T <br /> � " �� 8��. <br /> � <br /> CITY ENGWEERS <br /> EVEflETT, 4VASHINGTON PERMITNO. '/ �- /i�' <br /> Tha Undersic�ned L C ✓1/OI.(�� 1/J p r �f p� � I <br /> Hernby applies for permission to r ^ � c � �, ^ � � <br /> At the following location_� D I ���i �+l)I r��f <br /> SKETCH , <br /> (Work to be donel �y��` ' /��.^ C }` �� • , <br /> Tc f}•� ry 1 <br /> � ' . L�G�'���J�� . , <br /> R <br /> IdAY i9 19'I� <br /> • . �}71lITY DEPARZ��1ENf <br /> , . <br /> , �6 i e : U✓wl e r /? o� ,S fs o c.�l� /F. . <br /> fir� e /O �wf/ dh� � <br /> � DRIVEW4Y SEC7i0N The undersigned owner hereby agrees to hold and <br /> NO SC4LE save harmless the City oF Everett from any and all <br /> � � S 2 �.. � 7 claims for damages that may arise 6ecause of installa- ' <br /> �" LiP � tion and maintenance of the improvement hereto <br /> !I i, � <br /> p•• � 30•. �, • applied for�nd further agrees to remove sarr.e upon <br /> ��' ����� —`�-� notice from the City and to replace public properry <br /> da���j reby. <br /> � ; � + <br /> � ea, .� :.. �'= �!�+ ?�'?c:� c�.� , <br /> M �l Signature ot Apqlicant ��- t� J <br /> 0 � / �C•'.� C' ') %.'. c�', / -- c:,c-e�,. <br /> C � ���� <br /> COPY OF THIS APPLICATION TO � Add�ess � <br /> BE POST.E�ON JOGSITE. �� ` �f�,�— �,��, ' <br /> CALL ENGINEERING DEPT.2598815 TelephoneNurr�er . <br /> .a - 2 - 77 <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee //,/ �� <br /> Water Valve <br /> Dro�na��e Dept. Approvals <br /> Carh Yl Gutier � <br /> SiJxwalk Engineer <br /> Water ��/�ill��j�� t <br /> Street <br /> Inspector's Sipnature Cammunications <br /> Traf fic <br /> ' // 9 i <br /> , Ploryq n <br /> �ate • .�Q44`E.cd :i��/f��r-� �r :�,_,�� <br /> :I��m�aks <br /> Noic: pnginal to Cmromer ... <br /> � COPY IO f1lq 10 3 01 <br /> ..-- - 1 Cemy to Inspectar APProved by <br />