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rvcr�rit �"''1 <br />.+'>-'?'1 <br />�� � <br />CITY Eh::+liJeERS <br />i.VER�Tl', 1^ASHINGTON � <br />APPLICATION FOR RIGHT•OF-1h'AY USE PERMIT �^^ ^ <br />i:)0:,.:� <br />pERti11T �0. '� �'" ��� _ <br />� n 1..� 1/ �_ <br />The Und^rsi9n�d _1.1•_�.i � /-r l� I f� i � � r � � ��� �.- .�-, �� � � � <br />Hcreby apPl•��s tor permission to f'� �`�__;—�'rL'/ ��' t" �• f _�� � <br />At tha loil^wing location�_ �'-� a�4 F����L � f � -- <br />SY.ETCIi <br />IbYork to be�done) � �L �'.rl�.✓(f% !) <br />_AJ✓ �J� �� <br />U iti�" � <br />_ � �� � s��� <br />� �. <br />� � . <br />pP.NEWAY SECTIO� <br />NO SLALE _ yI <br />r---- <br />�`_____� 1'� LIP �, <br />.__"___— (_ 3�' <br />4..-3°'..1.-- - --------^i'-_'� <br />COPY 0.` THt� F+PPLICA'f�0i9 TO <br />;;E POSTLD C;\ !063ITE. <br />CR!_L IhGIP:F[RI\G D'c"T. 259�6371 <br />?: II�:Uf;S C�PO^nC CO?15TIiU.^,'flOt: <br />CI�IGCR USl' i <br />l':.dF.f�\'� ��—'�_ <br />(Jldi.•li.r� _'_'_ • <br />Gul� ?', G•.itt��: I <br />Sn I.����a!i; _..._-'� _. <br />��" �.�'it�'..�'.'JIi:tIIC "_.__—.______ <br />_r _ <br />- -- - --_ _. - -._ __ _ ... _ <br />5�_�7_ 77 <br />,��.� <br />The undersigned owner�h.=reby a9rees tojiold and <br />savc ha:mldss the City of f_verett from ary and all <br />claims ior damag^s tha[ may arise b�cause of installa- <br />tion and maintenznce of the imprmement hcreto <br />applied for and further agrces to remove s2me upon <br />natice from the City and m replace public property <br />_1_ ��L_�-1 <br />l'elephonc Number <br />--�_��-:"L_7_ ----- - <br />Datc <br />Dept. A{:�uovaL <br />Eiu�in.cr - ------------ <br />i �� �,�� � <br />�Vater �:.�/.ftL'/Llr.• .�.°�.t11�C.�-.--- <br />$tfCet_ � _— —'---- <br />(.Cf11tT1! If1lCdilOOi'_" <br />TfI��IC.___ __ <br />.�r�i,1111�1(j.___"__/ � ""_)�� __"_"'. ""_ <br />,tcV'PJ�I_.�L= ��l�Cc...-. y0%!'.'�...� s'7^d�l � � <br />-- — <br />�---- �--�---- <br />-- ----- <br />!t.�:�.-,.,�,'...; - --�------- <br />i;�.�..- ,�,�..,..�.�oRu�umcr . . ----.._.... __.. _ .. - -- <br />i . . . � {��!.• . _'__.. <br />. . (�!•I�n�;�.J 4V . <br />. � .,�.,i,..�. . � . <br />