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APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br /> everett �O��j Q <br /> e <br /> GTY ENGINEERS PERMIT NO._� ' ` � �� <br /> EVERETT,WASHINGTON <br /> � <br /> The Undersigned_�=-�' � <br /> Hereby apP�ies tor permission to % " � --� � d �—�' '� '��� <br /> At the tollowing Ie^ation � ' 1 3 ' �� _ — <br /> SKETCH / <br /> (Work to be done� � <br /> i <br /> � <br /> J� / � <br /> � ��y , <br /> , <br /> il ___ __ _ <br /> I <br /> % �,� � ��� ,i ; ��va c.c .� 9 r,� <br /> �c�r�c,i "i�..� S/v'�, .�-Ut'-c . <br /> v ;; � . \ \f <br /> � \jVn' <br /> � 'l'!� <br /> �� , � <br /> Cn � Sf(_1�1 <br /> ' '° i}�g F <br /> c <br /> �� <br /> I <br /> '. DRrvEWav SECTII The undersigned owner hereby agrees io hold and <br /> ` save hamiless the Ciry of Everett from any and all <br /> NO SCALE � <br /> {� claims tur damages tliat may arise because of installa� <br /> '� 1 tion and mainterance of the improvement hereto <br /> '�, ' �" ��P applied for and further agrces to remove same upon <br /> � �30_';,j�_._ __ _.____._—_ I 30"� notice f m he y a id to replace public properry <br /> � �7� damag d th eb : <br /> � <br /> Signa re o Applie5nt <br /> /��102 N-,/`I' �� �Vr.a� �70y <br /> COPY OF THIS APPIJCATION l�0� Address ���_r��� � <br /> � QE POST[D ON JOdSIT-C Telephone Number � <br /> CALL C-N,INEERING DEPT. 259-H£il l '� <br /> '1 II:IUHS f3Ef-OHE COtJSIItUCllO�'� Da[c s�. , � <br /> l ,l _ <br /> Fec <br /> CHECK LIST <br /> Water �'alve Dept. Approvals <br /> Draina9e Engineers_�:..�f�{,e:r��'� <br /> Curb&Gutt�r , i ? , � <br /> Sidewalk Wa[cr -*^'� , - <br /> Stree[ � � <br /> Ccmmunications_ <br /> Inspector's Signawre Traffic_ . <br /> Planning <br /> �� <br /> � �-r.. /� i� •-. <br /> ��—"— '�j— e <br /> ate <br /> Remarks <br /> Note: Original to Customer �1 _ — <br /> 1 CoPY to Pile � ��/ti� Approyed <br /> i <br /> I CoPy lo InspeCtor � �,�' __ __ <br /> D�tc Approved <br />