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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> evcrclt <br /> � 1 fJ f��l? <br /> CITY ENGINEERS <br /> EV[R[TT, WASHINGTON PERMITNO.,_�__ __ _ <br /> The Undersigned � . �, 7'' Y ��. <br /> Hereby applies for permission to � - r� � �-� � �� -'> ��'- l'�- �' L��v.i <br /> i <br /> At thu fol�owing location �y��'� ������ � '� /"�✓=� <br /> r <br /> SKETCH <br /> (Work to be done) . —T� , <br /> ��_ <br /> I <br /> � j._ -f� ;1 -3�� j <br /> � <br /> i <br /> i <br /> �� � I <br /> /( :J/�//' �\` i I <br /> � \ \I <br /> �I \ <br /> i �\\ � i <br /> � � 2(' � � � �� <br /> %J.����.,,�\ i '� <br /> � ' <br /> � \� ' I <br /> I —' ll <br /> —?— ,� ,2 g'— : <br /> ' n Nn �idCwd/KS . <br /> ' f, /f'A., /S iEr I � �� �h� — ' ��'_ __-. <br /> / <br /> � A ____f_ __. <br /> —T �.r S[>wPr ___ - ____ �,�' Gr-,vui:r' . <br /> _,_ /� � <br /> ___ __ .�L%L!1_tJ."__r1�'—_.__-_. ______. "" _ ."._ ... "__ ..... . _. <br /> / <br /> ' DarvEwav SECTiON The undersigned avner hereby agrees m hold and <br /> NO SC.tLE save harmless the Ciry of Everett irom any and all <br /> r---- -- � claims for dairages Ihat may arise because ot installa� <br /> �" ��P � tion and maint�nance of the improvement hereto <br /> applicd for anr, further agrees to remove same upon <br /> �30';,�_ __ _�3� notiee fram the C'!y and to replace public properry <br /> damaged Ihereby. , � <br /> �_ <br /> _.%:zu,; , c��l i�-r r a� --- -- <br /> Signature o pf�icant <br /> :. �c17 ;.i =4 C,li:z� -:7�i 3 <br /> � COPY OF THIS APPLICATION TO �� Address <br /> "!�. POSTED ON JO651TE. :'-,--���'Q-r� :�G7t I,'P�/� -' — <br /> . ',LLGNGINEERIfJGDEPT. 259�R�'.II �I TelephoneNumber <br /> _ _+ ��- 3ii9 _ <br /> . �, !I�`ti!;;. lIEFORE CONSTRUCTIUfd� Date . � �/7/ <br /> ' --- �--- = %:. . C7 <br /> CHECK LIST Fee ! � �= � . — <br /> Watnr Valve � Z '� i7 .r�„� �..,., <br /> Dept�ppr vals � <br /> Drainage ." �7 , ;� �� <br /> Curb&Gutter Engineers c-- � i('. cc�.'� �3��=/�r. <br /> Sidewalk - � �� %� . <br /> �,. <br /> _ Water �� _ �`i . �;� -�.: <br /> �. F, .- , �. .' <br /> StICCI_—:�.'.[. �4Y'� / .. <br /> Communications ��� ��-. .` � / f��+_.._ <br /> Inspector's Si9nature Traitic � <br /> Planning <br /> � . - <br /> -Ste --- -- �'-:... . .r.:r /i��, � �-; <br /> / L <br /> Remarks <br /> Notr. Original ro Cusromer q q -7 ,� <br /> t copy to Filc 1 O�j �4 ! � r � --- <br /> Approved by��� ' <br /> 1 Cop/ [o Inspector � j � � i ��� <br /> ' 'p • ��`�.._ _ _ <br /> Dat�� !\Ppro�md . . . � <br />