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AP?�ICATION FOR RIGHT•OF-WAY USE PERMIT <br /> ���«n � <br /> � �015b <br /> CITY ENGINEERS �]� _�V, <br /> EVERETT,WASHINGTON / PERMIT NO. � __ <br /> The Undersigned � �1 DY7� !a 5 �� V'�a!(��[7 �y A <br /> Here6y a plies tor permission tu���y�'Q�Gy1Jr_CQ�'� C^� �f �UL/ C ____ <br /> r�— � ' C� �F �� Lf1M�.SG�/J//����� _ <br /> At the tollowing location �30 5' T �NTa�ti L, _ <br /> SKETCH <br /> (Work to be done) � <br /> � EDGCOF F,(ISTING A9VEMENT <br /> i <br /> �OI� <br /> � _ _ � <br /> ( i <br /> � ��;���,, _ TREAlTON PL . <br /> , _ --_ --__ . <br /> ; I� �' 21 ' <br /> I DECLY�EITl1/E ROCKS <br /> �, 304 <br /> , i W <br /> � <br /> , <br /> I ¢ <br /> �^�0 SCAL.E � � <br /> ' � — --------- <br /> , <br /> ;; . <br /> �aivEwav SEGTiCN The undersigned owner hereby agrees to hold and <br /> NO SCa�E i save harmless the City ot Everett from any and all <br /> {. -�--- -- - - claims for damages that may arise because of installa� <br /> I - � <br /> i' <br /> --- tion and maintenance of the improvement hereto <br /> � <br /> , applied (or and turth=r agrees to remove same upon <br /> 90' ________ . __ ___� 3o notice from the City and to reRlace public property <br /> � dm+�aped thereby. , <br /> ����1� ;� � �� - -- <br /> Signa W re ot ApP�icant <br /> .�,� ;, 3ny T�zc��o,� � L <br /> �'pPY0f- 11iISAP�'LICl�:IGi�1tU � Address <br /> �� !. POSTED ON JODSITE �� 3� 3 ^ 3'7 4 1 <br /> �%�I L EFJGI�l EE RING DFPT. 259 f;�„�1 '� Telephone Number <br /> : 'I;)UfiS hEf-OHE CpfvSi I;U�.I IUh!� Date �� ��� <br /> CHECK LIST Fce <br /> lNater Valve �D pt. Approvals <br /> Urainage � <br /> Curb&Gutter � Engineers tt. <br /> Sidewalk i Warer <br /> , � � y� /� �� Street ��,���-' i <br /> i % � <br /> � ' � ,�;_%� ��• �J/���' ' � Communications 1��p <br /> � Inspector'sSigdawrr. Tratfic � J�—'T <br /> � ,- - Planning / �:` J�` <br /> �Jate <br /> Remaiks <br /> Noic: Original to Custoiner -- <br /> i c<,,,y ,� F�i� 1 f1 �_ ,�j $ <br /> App/bved <br /> 1 Copv to Insper,tor _ (�{j��E�'�' ? z �-� <br /> � t f.a.!-t�� ' i /�� <br /> �b,itc /�pr,tovea � �� <br />