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. i J <br /> �`�f ��o�^) ` t� f'� <br /> , � <br /> � Y , <br /> �� ,.�.( �f�� �- <br /> APPLICATION FCR RIGHT-OF•WAY USE PERMIT �`�LL--��- <br /> everett �O�C 7 <br /> e J ! <br /> CITY ENGINEERS ��!_ C�. <br /> EVERETT,WASHINGTON PERMIT NO. `' � <br /> TheUndersigned D�. -T �V CG��,�,�.'1� <br /> Hereby applies for permir.ion to eE SLO.-�E � �5'��✓� � ^ �-G�__ <br /> icw9,eD P2c� cw�✓�e 70 ' - <br /> At the following location s/3['J ,����'J .��'— _✓�. --- . __----- <br /> SKETCH <br /> (Work to be donel <br /> � � ��Y�'s/�s�on Teini� <br /> r,�.��,�, � <br /> ,io� <br /> � <br /> f � .-EK/3f//I I�ni/�Oh <br /> i !S' \ � 9 <br /> rec '�ff�.�: .,' � <br /> � � 'l ° <br /> � <br /> �4i' 1 1 <br /> .�����..�.�� \ _ ._ _. _ . — '�� II <br /> �,+ c � � - ., 4 <br /> f:� � C- - - __ <br /> � ,i3o . <br /> Titv,.,�,,. � Y/E1v O/�IVE �� �af-�-�-. r'rr.,fio:. <br /> � 5/e/�c ^ , , <br /> �7/'� '�r� ,' ,, l � <br /> (� , �../�- C/�� .���� . ,� / ( i ` i. <br /> V\1 ,/ <br /> l 1 i„ . /Vo Sc;�/,� <br /> � - <br /> i. _ .':ir' ��4.� <br /> I _� <br /> ��,�1�/ l�/C`Ll,- . <br /> , <br /> DN�vEwAr SECTION �`� �`��' The unJere:gned ownen c�reby agmes to hold ard <br /> NO SCALE save harmless the City of Everntt irom any and all <br /> I"------- -- - � �- �-� claims for damages that may aiise because of instaila- <br /> T— ,,., �iP —� tion and main�enanr.e of the improvement heretn <br /> �=-1� ,pplied for and further agrees to remove same iqion <br /> �30';,�_ �-- �,,;�3�"�; notice from the Ciry and to replace public propeny <br /> damaged thereby. <br /> Signa[w�e of Applicant <br /> �� COPY OF THIS APPLICATION TO , Addrnss <br /> BE POSTED ON JOBSITE. <br /> Teiephone Number <br /> CALL ENGINEERING DEPT. 259�8811 <br /> 24 HOURS BEFORE CONSTRUCTION , [��j��' � Date _J/ -- <br /> ':�Lo �_�t.-� s.�� 7" /tf —. <br /> CHECK LIST Fee , <br /> Water Valve Ept. pprovals <br /> Drainage <br /> � Curb&Guttcr Engincers <br /> Sidewalk Water <br /> Street <br /> Communications <br /> Inspector's Signa[ure T�affic <br /> Planning _____ <br /> ate -- <br /> Remarks <br /> No�e: Oriqinal to Custnmcr _ " --'- - —' — ---- ----� <br />