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APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br />- evrrelt 1 fl j 7 J <br />� u <br />CITY ENGINEERS _ � :�� <br />EVERETT, WASHINGTON PERMIT N0. <br />TheUndersigned � ���T� ��/` �"y������ <br />Hereby applies tor permission to ��/VSJ�///'T' 07 -��' �(a�^� a���.�-� ���� vE�� y �r <br />At the following location �Jrna /` UC�I� AvF <br />I➢ <br />(Work co be donel <br />- -�,� N�w � <br />V Co <br />� f- �� � �� <br />� '� � � <br />�-'� c`n�C>: �^.�`i` <br />�. , � \ <br />. - .. i;:'e 6��. <br />���y'�- <br />i� / <br />��'' 1. <br />� '--� ,/*``�`- <br />/ <br />,`'J Na�1�,iv�. �\�� <br />Fr�Sr�Lc� <br />rY/'e �. <br />� A��t.s �r�__��`�i� <br />���''E.Y/SIIA�G W�YKlN6 AREA �� ���-�� � - <br />�y ��BETW,EtN �ICK OF G/RB <br />f, ��,, : /a'VD TOf� �F dyNK <br />u� �, <br />�. <br />� <br />cr� �, �c;�'�`��+,�c���'�w�;� <br />� <br />� � .� <br />� <br />�,. <br />ExisT�Nc Eoc� <br />Of �y✓61��Y% \ . <br />�1 <br />DRIVEWAY SECTION <br />NO SC9LE <br />�.t�„ 29 — -- � '�}—� <br />�-- - �5— - --;-'p �-� — <br />. , <br />r.� <br />;.. ` i � �� <br />y Nr , � <br />�°� M�ss�o,� Ca�E v�a G. <br />Gt��P.cli \ <br />2 � <br />.pG f <br />P � � h������ �\ <br />� � / <br />.�a � V;. <br />��.-Ci'YUI��IIISAf'PL�C��II(�., IU ' 'f��!?(UN �j�l <br />GE PO�TEU ON JOUSITL. 4� y�� <br />, CALL ENGINEERING DEPT.259�0871 I 7/7"L <br />�^ t�,r,��r; °.Ecp;3i=r,ONSTRUCTION S•ZD-iS <br />'� OGJbE.:'��� ;.:S�:J� <br />/IL.0 CaV�. " G� '(' <br />��� _... _ 4.I ,.� (.. <br />i ' � <br />! � �_� � <br />� <br />� <br />S_'_� �3 <br />N� � <br />c. � NL. <br />,' <br />, %/'^'i <br />l�he � idersigned owner hereby agrees to hold and <br />save harmless the Ciry of Everett from any and all <br />claims for damages that may arise because ot installa� <br />� applied for and further agrees to remove same upon <br />� notice from the Ciry and to replace public property <br />CHECKLIST 7�' E�J�, N�I� I,�� "�o�' �r»i{at <br />Water Valve !� / """` /� . I <br />Drainage :��, I-Y�, cI'� : �• A��� '.r �4erc �•✓ruio , �"e..,T��. <br />Cur6 & Gutter � � <br />Sidewalk <br />- !VW <br />I . ctm's Signature <br />l SG �'7�0 <br />�. <br />63te <br />licmarks <br />Note: Original to Cus.umcr <br />1 Copv to File <br />1 Copy to InsPer,tor <br />� .s.li��_� _�� �' �. <br />Address <br />+ c; �� t �ll E�Jdl �(�C�J�o <br />Telephone.N�u �er` ��� i � <br />Date y � i <br />i j'. DD G�7 � <br />reC <br />J �nyu� <br />I� <br />� Water <br />c.__... <br />1 �Cln, G�v „= 2/- 7.T <br />--! - Zo l�' <br />9_ 017 � Approve /' / <br />��!' Y �' i�+r'vin�L<<, fr. -�rj -%,i� <br />Date Appt vcd ' <br />