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APPLICATION FOR RIGHT-OF•WAY USL PERMIT �04 36 <br /> evcretl ,��� . , <br /> � I <br /> CITY ENG7NEERS PERMI i'NC. 7L- - � _ �r��� . <br /> EVERETT,WASHINGTON <br /> / 'lf Cc�vG'�'�/l��f1 ti45i /yiv�"L�K� � <br /> The Undersigned_�1��-1- '� g� � , YK' <br /> Hereby applies tor permission to � r; ^ <br /> r " c o . > ,T �� ' s . � f � r.vQvs�F <br /> � 3' ��✓ F P�t of 33no �1 �i[-' . �N, <br /> �:� ,-,-, r. �. r � ,��� 5r �_ � — <br /> At the following location � I �� w� `� � '�—�p ' — � <br /> �XETCH ZS� As h ��^� to � x ;:f�n�� D��" � n C ' {� r�H� s.� o��� /� ,. <br /> (Worktobedone) p �� � i � , F��,.�rnf, �72' GU� '� <br /> ro f:l ;n� mc �nf.iinqncr- c� r� <br /> i <br /> � I <br /> � �., �F,�.. �`?�� � � i �� I <br /> �� �r <rIS�"i'�'� � � <br /> I �\,, + I <br /> I '� � \ 2 <br /> � � <br /> I ' J/���� ' <br /> �i I I % ` <br /> C :E✓.rf'I I � i <br /> F ��.,-.i.,.f � � �. <br /> M�N. �n. _ <br /> =� �QD 1 <br /> '. V �n;i`'��p/•,�� � r I ' <br /> < <br /> A'I'h�' rr�:' I I <br /> � ' � �il ,�r.1ch � c - ' <br /> l . 1c 'n'yw I � <br /> 's I u/,. � _ � � . <br /> t�^1 _�. . �'1 ` Q ' <br /> o '�,..- �',.i 1 - �. �Z. <br /> . 1 <br /> i �-- <br /> '( ��v � � _ <br /> i <br /> ----" ��H,�^ � <br /> . . <br /> � . ._`_ ` _ i - = � �'�� �B"C��I.�.t <br /> �n� W n J ` � � ¢_) . I <br /> �� n � ��� - � �[/_ I_ � � I i � <br /> _ -- �7 —. _ .. ([o�f��-��1-��;_� � J/ <br /> �n.� _ � o �= !-, ,t ' � ' � <br /> _ _:-< _ = ��' ,. ��q I�� <br /> t - _ --_ " ` _ " I�n:"- /d'�_ I ' <br /> l <br /> � ._ — i� <br /> ��— � <br /> i <br /> I -,i r 4 <br /> Pl c- �c„ l� <br /> � �RrvEWAv SECiiON ��//K, /'. �„ �/;/9 aTne�.�ndersigned owner hereby agi ees to hold and <br /> srvr�iarmless the City oi Everett from any and all <br /> NO SCAIE � <br /> claims for damages that may-arise be.ause ot installa� <br /> r----- <br /> 2's� ticn and maintenance ofthe improvement hereto <br /> �Y' ua �—�� applir.d Tor and further agrees to remove ame upon <br /> L 30 notir.e from the�� r� 3 e ace pi Jic pro rty <br /> 4.30'�__. -------------�-- � dama,� t�Y rebY. � . <br /> _�%r��: '���'-�'� i <br /> . Signature�ot�/lh/j�•C�h_nnl � �.; <br /> ���/�i <br /> � Address 4 y%v/�4%u'✓� �' <br /> �f,UPY OI IHIS I�PPU(:A�Itiil i(i ,q ' � �- � �� � �j. <br /> I+f- POSTf_D ON JOGSITE. •*��`� ��iel�one Number I, <br /> ".t.lL ENGINEERING CEPT. 259�8611 '� S1 - i � - � � - ''. <br /> Date <br /> ' , ��'n�:R'; Liff-0FECf1h:;TRUCT!('JN � <br /> i 7-�-=.�o' �.4�� <br /> Fee � <br /> CHEC:K LIST D pt. pr va 9�b�1 <br /> Water Valve / <br /> Drain:.ge Engine /F ,y <br /> Curb 8�Gutttr � <br /> Sidewalk Water eh a/' S��f P ���G <br /> �-�. 'M"`� Su�eet-�,'�..-�-_.-_--_ <br /> ��� r'�i- -4:fi�,� Communirations — � �..� . <br /> Inspectar'sSjQnature TraHic ��� 1 � /� ~��� <br /> d ) / Planning - �1ii4Cv�y /� �� , <br /> �'. �G'/ '� ,)„"� _ Seaer � <br /> 4/ <br /> lf te <br /> �Q ..f i�y��;�?/�G�,�r3✓'�" — <br /> Remarks -- <br /> Note: O�iginal to Customer w <br /> i CopY to File ...�_�/�� Ej App�oved �y�' ��� <br /> 1 Copy to Inspectoi i <br /> Date �proved <br />