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everett � <br />� . �_� p <br />CITY ENGI�EERS <br />EVERETT.WASHINGTON <br />1� <br />GHT-OF•WAY USE PERMIT <br />11297 <br />--i '� /` <br />PERMIT N0. � � O'� 7 <br />TheUndersigned �� `\i(�7 l��7//Vtii7= i / r'l•"�%1'(/�1�i1`l <br />Herebyappliesforpertnissionto ��-.' `?rj'Li�i �LC=f��'�/�l�� ��-%!'I�/`--.,./'.� <br />At the foilowing location ��� i' `�~ %'�J �" � b"�'/ ((� ��,-� <br />(Work to be done) <br />�l ��;,�'L�X <br />�� ,i �.r.IC <br />c���,c:rG <br />�r_/_��_, <br />., !i ,.��;i''ti�tL:l r�%a`f���Jr� <br />c ti-L :<: C..;`;;,�, j .L . ,•_:t .1,, <br />t�°'- � ,�� <br />DRIVEWAY SECTION �' <br />NO S�ALE : <br />I � +�.� uP / � <br />�30" 30" <br />— � ��/ I �,�%�/r������_i.(_ � <br />� <br />�� � <br />�" .� ST e� \ <br />COPY OF THIS APPLICATION TO;' <br />SE POSTED ON JOBSITE. ( <br />CN�L ENGINEERING DEPT. 259�8811 <br />I24 HOURS BcFORE CO <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb R Gutter <br />Sid�•Nalk <br />ON <br />.,i' The undersigned owner hereby agrees to hold and <br />_.,� save harmless the City of Everett fror i any and ail <br />claims for damages that may arise be :ause of installa� <br />tion and maintenance of the improvemeni hereto <br />applied for and turther agrees to remove same upon <br />notice from the Ciry and to replace pu6lic property <br />damaged thereby. <br /><� % -L;�_ C"� �/., /. _ <br />�. Signaturr. oi Appl' ant `' <br />� � , �. <br />.'%.=c��-, '" /-��Y- Lf li !\v'i�=�. <br />Address <br />';� -;.. ,'.//�% <br />�'-"� ��'�� Telephone Number <br />/[/i )' �'r" � /'i /.'_ <br />�%'�'- � y� "` y, c.,,' Date, ' <br />C� <br />f���in S �".4.��, <br />07"�i/l/�S�- /J'� r`' <br />cor, ��"1�^-�7J <br />2�'� �'/�� <br />�.,� �����% <br />ftemarks � � r� � -7 <br />L 1 <br />Dept. Approvat83 <br />,I• p��,�e• . �,Jy;✓' � a <br />f < ,�'w�" .p3 „c = <br />•! �o^'i- P ,� ` '. <br />1 �'� <br />�e .��e; �r �"�.i � re^' �ri _�IS <br />bl: " . <br />��D � �:1' rC �i. 5 •• � <br />,� � :�i i��e.�A'�provedhy„�.� <br />- - f. <br />