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evcrett <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> - � 1��1� <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMITNO. �� <br /> Tne undersiyned_�I 2ST F3Ap-f� GT G��� � p��J �Qp��(LT L S M j?!-� <br /> � Hereby applies for permission to G� �1 G"1"� � p, 2� � AJ r . w-�j r�j�-'-• 1'� Q�,����� � <br /> ,O�vi� ' fa � , � _�,a�ii�� �^vv ��r�n i2-�-/r/ _. <br /> � At the following location_I�n � �n }7A G 1� I C �\ /� <br /> SKETCH — _ <br /> (Work to be done) I <br /> NO�L. ; <br /> -�uo 'k�AC_'It1 W� <br /> ME'fEr2s -ro [3� <br /> R'EhA o V�D <br /> I <br /> i <br /> F�RST 6APTIST I � <br /> c.Nu�2cH No <br /> BO` SiA <br /> r Ibil. PAciF�c Av� Ej <br /> � — � Q <br /> � 13.5 � I <br /> 1�7 <br /> a <br /> 0 <br /> 1-Auou.n � I � <br /> - uj---pE.Mo E MEre <br /> PRoPosED PARK�N I � <br /> lJEWG,B. <br /> _ ,,_ ����, A'2CA Ex�T GRAss <br /> � . I-ANDscnPti: ASPH. / � � A(��A <br /> �-_=— _ , � <br /> I-ANDSc-I1P[-� . <br /> DRIVEWAv SECTiON Th�:undersigned owner hereby a9rees to hold and <br /> NO SC4LE save harmless tlie City oi Everelt (rom any and all <br /> Z5''-- — - � <br /> claims for damages that may arise because of installa� <br /> {i" LiP -��I tion and maintenance of the improvement hereto � <br /> , �30'�;� _��30�� applied for and furtber agrees to remove same upon <br /> notice from the City and to replace 9ublic properry <br /> dam�ed thereby <br /> 433c i.�,�- -_�_����.:.�— �'?/,, �-- <br /> '� Signature�Applicaht-�� <br /> . . _:,,. , i ,` . <br /> COPY OF THIS APPiICA.I IG�'�! -;�,�, �� Add!iess <br /> I DE POSTED Oh JOBSII�t. i '� '� � � : � , �/ <br /> IG1L1_ EtJf,IN[ERING DEPT. 253�On1 t I Telephone Nurnber � ��� <br /> - l � <br /> � 2� HqURb rErUNE CONSTHUCIIP•d� Date � �, , <br /> CHECK IIST � � � � � �"�' � ' <br /> Water Valve Fee <br /> � •4/D Z-�✓ <br /> Draicage �ec"A �`.�^��� �ept. Approv�ls �� <br /> cu�t�&Gutter 2 /L 3SS'�fz <br /> Enginees� <br /> Sidewalk / � — <br /> -- Waler !/ <br /> �.,yf�f/�'/� � /' Street -� *��-�� u �il_ <br /> -��'1S�!'�y'�il'�� �� �� l� Communicatio� <br /> 1rtSp�tor sSi nature ��r.yt, <br /> �/ ��"V Traitic � / <br /> �' / f��� Planning � � � z <br /> bi - - - -- -/ `4 <br /> Remarks --- <br /> Note' Original to Customer <br /> 1 Copy to File '�(���1 f1 <br /> 1 Copy m Inspector � '�J A roved b % <br /> PP V / <br /> �ai������d O JS��g --- <br /> U/ <br />