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. . ..._ - . . i:L'�'r7. s". . <br /> i APPLICATION FOR RIGHT-OF-WAY USE PERMIT 112 5 7 <br /> everett <br /> ` � � . (: <br /> CITY ENGINEERS • ���� �- <br /> EiVERETT, WASHINGTON PERMIT NO. IIO �'� <br /> � � . <br /> �n: � ' < ' '`f /� �-�- <br /> The Undersigned � -�-i � -.r"�� / I � G ( .�;L'L-/�'� <br /> � L <br /> HLrqby applies for pg�nission to Y.^'l�v�Inl/G ��.li✓/7 /_,�,- :�%i�/ �` �,� i! �' �^ ->„ ,�`�� �;_J ;�- I <br /> � �� .L •;n/ t�7 ' i� i i � � I <br /> At tHe follo ing locatmn '��/li 1.�� �i-��%�i�'- � � <br /> . � <br /> SKETCH 1 <br /> (Work to be�lone) 1 !,//�� <br /> V + <br /> � I <br /> � �XlST i�� !�vY� / /,�� �/ I <br /> �rr� bpSnC� ���' �r��/ �J I,Y<'�7�� �U / .f�l'�l�L�� (j' v��� <br /> � % ' ::a7/�Cc l Sv���-��r <br /> �.1-��,.�.�-=1� -- ` ', ^ -�-- -- �T�/ � ,,l�l,� T n�� �x�S l�7, I <br /> , "\' ,' ` �' — � / �r. <br /> � <br /> � �� � � <br /> �r��Aur� ! <br /> � <br /> j�� ��ar l� p�,r{��r/oil % <br /> �r� - <br /> , <br /> ; 1�� �. -; � <br /> j' , -- <br /> � , <br /> ; _ - <br /> _ <br /> , ;_- <br /> � --_ -f.-�_._. <br /> I ����! <br /> �_-------�—"�-.I / R <br /> _ _ _ � , � � Y�, : <br /> !'i _ --- — l � fio„ ,� �7 y ;, <br /> rl�v ir,� <br /> . , � � . .;; <br /> DttivEWAv SECTiON The undersigned owner hereby agrees to hold and ' <br /> NO SCnLE save harmless the City of Everett from any and all '� <br /> h----- )_�'j — —`{ claims for damages that may arise because of installa� <br /> i" ��P tion and maintenance of the improvemeni hereto <br /> 3o' 30" applied for and further agrees to remove same upon <br /> _✓ <br /> notice from the Ciry and to replace public property <br /> damya�d;thereby�./) /' � � <br /> --•(6yr..r- (l`J:�Y1.a',� /ii llit. -.� �, <br /> Signature oi Ap licant , /" , . <br /> "� /'���il._ �/.,_,�:.,_n �� 1 ��,� .�L./�, . <br /> COPY OF THIS APPLICATION TO ��a��1 ��1 "� Addre�/ _P/� ��}�y^���/F ;��u�r.- _ . � _ , <br /> BE POSTED ON JOBSITE. "�� , -�-= r� <br /> i.�- Telephone Number -� - <br /> CALL ENGINEERING DEPT. 259�8871 �' i; ;��//4 �� ' . <br /> Date - � � '� � c <br /> 24 HOURS BEFORE CONSTRUCTION � -� <br /> CHECK LIST Fee , , <br /> Wate� Valve � Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk Water <br /> �, � <br /> ! Street <br /> Communications <br /> Inspector' ig at e Traffic <br /> � � _ � � Planning <br /> �e <br /> Re ks � <br /> 11257 <br /> Approved by � ' .. � , , <br /> � . - I <br /> Date Approved � � � <br /> INSPECTOR'S COPY � � <br />