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APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br /> ���«n 10288 <br /> CITY ENGINEERS / .7 �b ( <br /> EVERETT,WASHINGTON PERMIT N0. <br /> The Uriersigned � ��"�� � �'�I (��T � �r i���/f�� "� <br /> Hereby applies for permission to �LN l I ����I . 1 '�1 �� % -���,�• � ���� <br /> At the following location �� � � `l` U �'"!V�- � � — � <br /> irNnL� rr�-n <br /> SKETCH � <br /> (Work to be done) � (� ' <br /> I <br /> ��. 1 � _ ��1d. I� %. '� --- -- 1-_ I <br /> N� 1 , I � <br /> � �x/ST/NG /2"'C[/L v�eT <br /> l,� (' <br /> i; � � <br /> V � <br /> ��� � � <br /> t�l � <br /> 1 <br /> rn <br /> l.� � <br /> �. <br /> /�' <br /> 7.. <br /> r,��� <br /> .�CHL�' <br /> �I�Gt� i�F :�_Yl� 1 !Al L' (i'11�U <br /> IL <br /> DRrvEwAv SECTiON i The undersigned owner hereby aarees to hold and <br /> NO SCALE ( save harmless ihe Ciry of Everett from any and all <br /> � I � ----� � claims for Aamages that may arise hecause ot installa� <br /> tion and mamtenance of the improvement hereto <br /> ��_��_��P apPlied (or and further agrees to remove same upon <br /> �30'� 30' notice trom the Ciry and to replace public property <br /> _ ._____r_v_--_--.4._-.� `,� . damaged�thereby. �. /� <br /> `1`� � . . -�=.����j � L./-�'-�-!_� <br /> Signature.pf Appiicant , ,. � <br /> �- d? � 7-.: ��.-.�-��' � •`-i.� <br /> � i:UPY O"r THIS APPLICAI ICI�� tU �I Addf2;s � i <br /> . fl[POSTED ON JO�SITE. ' ��� r � ��� r�+' ��L/� <br /> � Telephone Numb�� ��33 <br /> � �' ; L @NGWEEPJNG DEPT. 25&881� � i- <br /> `� DUIN 6 `i L 0(J 'I.. <br /> 7; li(r.Jf;�, P.FI=GRC CRiJCIfiUClli)hJi Date O . �� � � �� � S� <br /> " ,� <br /> CHECK LIST - Fee <br /> Water Valve Dept. Approyals 'Z <br /> Drainage �C��t-��� ���- <br /> Curb &Gutter Enginc �J <br /> n <br /> Sidewalk Water ' . <br /> Strcet �� ` __f, <br /> � ����_`—: ' - _.. ,�,�..� .��, �� u� Communicatiois . ti,���--_..,ti. -r1- �.-- �i- <br /> Insp ctor'sSig ature Treffic � � � "'� � �� <br /> ~ Planning � ' ��!- / �7� , <br /> � ./�-. <br /> -bate' ._. --- <br /> Remarks <br /> Nutc: Oi�yinal ro Customer � n��� , � <br /> i conv �o r-�i� �� , �/ , <br /> 1 Copy tn Inspector ApProv Q�G � J/� ..�./1�--,f..t �!. �0/fi/]' <br /> i / <br /> Date Apprnved <br />