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everen . <br />�� . <br />CITY ENGINEERS <br />EVERETT.IYASHINGTON <br />APPLI^ATION FOR RIGHT•OF-WAY USE PERMIT <br />The Undersigned LT/� � �;_ _ <br />Hereby applies tor permission to _ <br />At the followinc� location <br />(Work to be done) <br />1�" fTllf�l. C:II_`J=1�T <br />I I -- I <br />i � 4-(� 18 � <br />I I --- i <br />DRIVEWAY SECTION <br />NO SCALE <br />I'— �,-- -- --i <br />I" LIP <br />30'y_ __ � �' _. I 30" I <br />_i_ --.� �.� <br />� COPY OF THIS APPLICAI IO^J lU ' <br />BG POSTED ON J0851TL � <br />CA',.L ENGINEERING DEPL 259�8�7 : , <br />� 2� �ioui�s or_r-or�E �or�srHur. i �,n, � <br />�L <br />i; II I I�Y. l!�I1 �l. <br />I U-� i J- 7:�� <br />'3 — b''— 7 � �t ': �_� , <br />�c� �. ,_ . <br />C'a- ' _�.-�Y L' . " y �4. <br />Remarks <br />Nutc: Oriyinal to Customer <br />�r•„yioF�ic � n�n4 <br />1 CepY to Inspectoi <br />_- <br />10304 <br />PERMIT N0. /✓ - ��7 <br />� I �Pc+ R Ti vN <br />N;: !I ��S i' H U l dl <br />'DCt ;�F �XiSTIN�"= (;u�1D <br />The undersigned owner hereby agrees to hold and <br />save harmless the Ciry o( Everett irom any and ail <br />claims (or damages ihat may arise because of installa� <br />tion and meintenance of the improvement hereto / <br />`C applied for and further agrees to remove same upon <br />notice irom [he City and to replaee public property <br />dama thereb�J'n �y /� <br />��nnP1�l(( • �;,__.{/a� <br />Signature of Applicant <br />7'� � 1 4&+�^ �i e w <br />Address <br />�i > 5 r� o� �S ? <br />Tcleplione Number <br />r <br />Datn ' ' �9 <br />�'� l� /.',L:J /".� �O�lr�%l � <br />Fee /—" <br />/�Qep APfy;�pvals <br />Engine ^/ `� � -�WY!^Gl...L.ci �O-/!7-%J <br />Water ���� �, � /O� 7� . <br />Sirnet '/�_.,� ' <br />Ccmmunicatio JG ' �" �n+�-�l� <br />Trattic �-'� � `- — � l- � <br />Planning� -� � ..✓ � <br />I <br />I <br />- I <br />� <br />Approv y O . / . I <br />__ ti.�ll�. ,7�w.lGt.GG /0-�- .�i I <br />Date Appioved <br />