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_ .� _ _ . , _i:P. . , <br /> • � ' HT•OF-WAY USE PERI�II i <br /> �� � j 11Q39 <br /> CITyE , �[ERS � � <br /> �RETT, WASHINGTON PERMIT N0. '� /. '> > ) <br /> The Undersiqned � �r� . !'!-� <br /> Horeby applics for permission to_L�z /� � ! � . �,�, �����7�! �a,,•,.��y-.�-.�Y�/ <br /> i iL•%t • , . ---L�-,'.-'�.t_cL— <br /> —+—•--��i.'11 �� J /)�.1'�JC c �'u� /!i/i �� � '�.. ' <br /> (`,. %'G7� �li"�l�ii.1 ��n/rJr �' c�i!'t , i Y k F��„f7r;.�i�i�('.e�[. <br /> Atthefollowinglocation���7Q �Q,��� !--' <br /> SKETCH — <br /> (YVotk to bc done� <br /> NoI"E',' <br /> /, 7�NFd',E /S IE��T�� STRNDiNG oN TNE S/Dc WAtK, <br /> y, 'N��C /s /� I-trCH CuP.is' y,•�7'r/ 1-'d S7oh;;�� ��:�S �N . <br /> 3 r�l R DA�'G�"�" Ur:?,,frs 7 o a���,v �<fFo�c iI r,rr_ c�•�8 r�.vv <br /> , /�v�o 7f�f 4�7f�K. '�� � . <br /> . <br /> ff N� V�ov t.J G I K e rU Y S� ,4 3//�"n o41 �.YArN �'i Pr•. <br /> ' / ' • � �, <br /> 2e�� � k S x g" � ��- � <br /> . � ' <br /> �� � � eo ,� � p,o ;N. � � �� �'� �� ���� <br /> �- � C�:. � - - . <br /> .:,-� . <br /> DRivEWpy SECTiON �� The undersigned owner here6y agrees to hofd and <br /> �� NO SCALE save harmless the City of Everett from any and all <br /> � tlaims for damages that may arise because of installa• <br /> � ���� ��P tion and maintenance of the improvement hereto � <br /> �3g�_—� _ jp•� ' applied for and further agrees to remove same upan <br /> notice from the City and to replece public property <br /> � , damage th-o;�by, � <br /> , <br /> ' � � Signa ur o Applic f �J <br /> COPY OF THIS APPLICATION TO Ad�i� ���/L�� �"`^"-�-'�-�c� <br /> BE POSTED ON JORSITE., C'L�C�j-�E ,�-- Lt� _i f� ZL' / <br /> CALL ENGINEERING DEPT.259�8811 Telephone Numl�er <br /> 44 HOURS BEFORE CONSTRUCTION � S z_��� I <br /> Date <br /> CHECK LIST <br /> ater Vaive F.�e -- <br /> Dreinage � Dept. pprn I IS <br /> Curb&Gutter � � Engineers�� <br /> Sidewalk � . <br /> Water <br /> • Street <br /> Inspector s$�gnature � <br /> Communicetions <br /> ' Trattic <br /> � . Plennin <br /> ate <br /> Remarks <br /> Note: Original to Customa <br /> 1 Copy to File 1103 9 <br /> 1 Copy to Inspector Approved by <br /> Date/`,nnrovcd <br />