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- ' r�PPLiCATION FOR flIGHT•OF WAY USE PERMIT <br /> everett 10 5 0 7 <br /> e <br /> CITY ENGIIJEERS 7� - � � i <br /> EVERETT,WASHINGTON PERMIT NC. <br /> The Undersigned� � �� ' ��`� �� ���� � � -- <br /> Hereby applies for permission to //J `: 7�N L l- - � ��i-��< < - _ ' '^�' �'��� "� <br /> TIL� �C� A/ ' 3 � KIl {1Vr <br /> At the following Iceation� i � �1 U�A L(r�^� — <br /> SKETCH <br /> (Work to be done� <br /> I <br /> _ . �.� <br /> �, .�- � ' <br /> -� � ,�� , � _._ ____.-- -- <br /> �� ;; .� ; ��,. , _� � � <br /> _ 1 . � ; <br /> � , � �!..i <br /> I <br /> "�___i � 1�: <br /> I <br /> I i <br /> �� j I, ' <br /> � �I..i <br /> 1 i . <br /> �. '� � <br /> , I <br /> - ' � � <br /> I;_ ____ _-____ ._ � - - - � � <br /> i � � ��_____-.- _ . -- =y , � <br /> -_._ ' '-i - . .= ` <br /> �,��� � � � �, ; , <br /> { f <br /> i <br /> DRIVEWAv SECP.ON The undersigned owner hereby agrees to hold and <br /> ` NO SCAL� save barm�ess the Ciry of Evere[t irom any and all <br /> � -- ---� ---� c�aims for damages that may arise because of installa- <br /> � tion and maintenance ot the improvement hereto <br /> ' LIP applied for and further agrees to remove same upon <br /> I 3p�� I��� . __ ____,.. yf.3�'y.' notice from the City and to replace pu6lic property <br /> �� _'1' __--_ � i - <br /> damaged thereby. <br /> Signature of Applicant <br /> I, ��.OPV iiF iH15 APPUCATION TO � Address <br /> ' I�.I �'O�TED UN JOR5ITE. �, Telephone Number <br /> ..�'.J I.IC��L'Jf ��RIFJG DEPT. 9�'J ft211 �' __ <br /> �-:I I!�u il1'> rr � OP�[ I:ONS RUC i Il1F.1 Date <br /> ' ��/:-i�- F-F __ <br /> � CHECK LIST Fee' <br /> Watei Valve De9t. Appr �,als � , <br /> C�urb&Gutter Engireers��"�/ S-��L;K L� <br /> Sidewalk Watcr <br /> Street I. �" — � n _ � <br /> I <br /> Ccmmunications ' � ' � <br /> Ins�mctor's Signature T�affic <br /> � � �- 1 `�;.u: Planning- j . � — � ° <br /> �e <br /> — Z"� � <br /> Remarks <br /> Note�. Origina� to Costomer � <br /> 1 CopV�o File I ��i�7 qpproved by � � � <br /> 1 Copy to Inspector - � <br /> :.�. � /'. <br /> Date Approved <br />