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evere�t APPUCATION FOR RIU'HT-0E-WAY USE PERMIT ��3 9 9 <br /> � �,-`�.: \i. <br /> � <br /> J� � ` <br /> � , �� <br /> , �� � � <br /> r � ti <br /> CITY ENGINEERS � , �+� , � <br /> EVFRETf, 6VqSHINGTON PERMITNO. � <br /> The Undersigaed�I,�/7t)/'� !�, f�� P,1:41 i`� --.....,. ��.. <br /> Flereby applies for permission to � �` ! t' ��• ��> • '�� <br /> < . .7�. ,, 7' N v ,,. <br /> -- %� n c.cJ � - <br /> A[ the followin9 loca[ion �:,{.�� f 7 L G h�v/' r . �/a-Y� /-! ��-_ - - ��� � <br /> SKE'fCH <br /> (bVork to be done/) <br /> /-- i <br /> �_.<_�i % t G� <br /> �/fi' � �"1<"�'�c� :. C�f'fw�� //�l/� ' � /�� • :`I;J'</� <br /> � �, � � U ��/��� � <br /> i <br /> '="%?/,� �f��J ��� f���{`�i�� ��-°- �'-o-�c.! ��u <br /> � ��=. <br /> --��,�:.r_� �-;��� _/f C�o/ , <br /> �� <br /> : �;�,� <br /> .� � �s a��' 2 <br /> ���� � �' r�� . <br /> �.�• J �� �` n ��„ : <br /> ! °� G�,"_ , ' ,c r(N)'",.: . <br /> . � � � `� ,. <br /> �� y 1. „ � �� <br /> � � s�. �- � � <br /> ,F ,� � . <br /> ,P � <br /> l`, ��;,n� <br /> ORIVEwAY SECTION The undersigned owner hereby a�rees to halcf and <br /> I? _— NO SCALE— save harmless the City of Evere[t from any and ail <br /> � claims(or damages that may arise because of installa• <br /> � 1�" Lip �� tion and maintenance of the improvement hereto <br /> �30" I � 30'1 � applied for and further agrees to remove same upon <br /> -`T`— -------"1�- -'1 � notice ( t Ciry and ro rep ce public property <br /> dai <br /> i/gn'a�e o icant — <br /> ��(lOPY Or THIS APPLICATION TO d e55O / /C�un��' j�aj�— <br /> QE POSTED ON JO¢SITe. � 1i,C � �258 -�7 ��� <br /> C�'��� �(I/ Te1�shoneNumber—__ <br /> CALL EP�GW�ERIiVG DEPT. 259-8811 ._c6 �(����� <br /> I 24 hiOURS E3FFORE CODJSTRUCTION ���1 Date � <br /> CH[CK LIS�i �'l Fec �S ��, //� <br /> �Valnr Valve /G4.r�i4 y� ,y�j.(�yr <br /> Drainage Dept. Approvals <br /> ' Curb& Gu[ter En�ineers <br /> �Sidewal k <br /> Water <br /> -� ` Stree[ <br /> / ` <br /> Irs cror'sSiynature Communications <br /> Trafiic <br /> � �� � � Planning <br /> �le <br /> � I ' _ - <br /> licmark> v— <br /> ]. 1. 3° � <br /> Approved by <br /> cUSTOMSR Date Approved , . 9 <br />