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i <br /> -.r.��n <br /> J APPUCATION FOR RIGHT•OF-WAY USE P.RMIT <br />� '' � 1095G <br /> �..� <br /> C�TY ENGINEERS <br />� EVERETT,WASHiNGTON ' PERMITNO. 71 � ` <br /> The Undersigned_ 2r �y,//�H r/ <br /> Hereby appiies tor pertnission to��O/VS��uLT fj' Z/ ' /4rP.,<A�r (��u/ <br /> At tha foliowing locatian�y0/- �-t�Mu 2-�//--/���,,,-1��A� .� 1 �- . . i � �. .� ' <br /> SKETCH <br /> (Work to be done) • � � <br /> SGG A�f�GfjG(7 <br /> .1 GSe/�eYe 7��;r �/�*/ � s to �ie.,..� p�Yx.�a /o t oFF �'7�o.�, . <br /> �.� �"o Go79s'�"�(.iG l/ • <br /> _'4� 8�� ' 1 <br /> ,�oyJl2�� CoJ^.cJc°-1C' Gwt-.e�- ���1' Si�w�/,� /Le�f..c.i�;U <br /> / J ,/ � I <br /> 5/�-)"�,Q (O ,/ �/l/G�c .. <br /> I �, <br />' • I <br /> DiiIVEWAY SECTION The undersigned owner hereby agrees to hold and i <br /> � SCALE� save harrtiless lhe City of Everett from any and all j � <br /> elaims for damages ihat may arise because of installa- � <br /> 1" LIP tion and maintenance of the improvement hereco <br />' �C" I 1 30" applied for and further agrr.e.ssp remove same uoon j <br /> �i"— � notic�e m-the Ci and to replace public properry I <br /> dam g5 ed the eby. .r <br /> / <br /> ' Sigrlju e of A�t ' ' <br /> � /°/// /Z��i�f',� <br /> COPY OF THIS APPLICATION TO Address <br />, BE POSTED ON J06SITE. �2f y �f'/%/ <br /> �CALL ENGINEERING DEPT. 2598811 Telephone Nu bcr <br /> ��i.5/� 7 <br />� 24 HOURS BEFORE CONSTRUCTION Date <br /> 0 <br />�j CHECK LIST Fee /b S <br /> Wator Valvc Dept. ApprOvals <br /> Drainage n -7 <br /> f Curb&Guttcr Engincers_ /= I�,[��.....t <br /> Sidcwalk <br /> ' Water <br /> Strect <br /> _ Communications_ <br /> Inspeetor's Si9nawrc Traffic � <br /> Planning <br /> Date <br /> Remaiks <br /> I <br /> �otc: Ori��inal to Cus�omcr � <br /> i c�,i�y ��� r���, � �� � :� � • - �� � <br /> 1 Cupy lo Im,Prcior APprovrd 6y � <br /> -- - I <br /> Ddic llppiovcJ I ' <br />