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everen AP?LICATION FOR RIGHT-OF-WAY USE PERMIT <br /> e 102�9 <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT N0. 75 ��� <br /> � ,1 �� , i � �� � <br /> The Undersigned ' "'�� - - '; %- � <br /> Hereby applies for pertnission to �U ��_1�ll ; �� I A ���� 1 � ') ,� / 7�`; %,_ (;���f �, <br /> L. <br /> At the fo�lowin location �����5 .''/ .� +T `� '- ' ' <br /> g ,� li . _. i ,= lr r" lh ��� Lr <br /> SKETCH _ LU / 7 �, <br /> (Work to be done) :Vo 'i <br /> ___ — .L.C ra i_�. j <br /> I <br /> �' �"--_—I"_J 1 � <br /> ��i)�� <br /> _ '_' � <br /> I �� <br /> �y —_—i � i <br /> - � ; ; <br /> � � �� <br /> --- —'R i <br /> � � � I <br /> i <br /> � <br /> �' . W --� �---- ---- — -------_..�_..__._ �... � i <br /> I �0 L��o� II <br /> NL��II CIY�/L:. J/ +I I <br /> �� ;_a� � :, -� i vi: �:��ic � , rs,rrrr_R � <br /> /1N;1 � f l)L �lii �_K <br /> � 1��n <br /> � �� �����'7 <br /> � ,� <br /> \ , i <br /> r��� �� <br /> `. � �� �, <br /> OdiVEWAI' SECTI04 The undersigned owner hereby agrees to hold and <br /> b0 SCALE 4�? � ' save harmless the City of Everett from any and all � <br /> 'I �—� Z7 -- � -� claims(or damages that may arise because ot installa� <br /> I �� � i' LIP tion and maintenance ot the improvement herero � <br /> �0'� �� ' ' 30' I applied for t�.d further agrees to��emove same upon . <br /> -���—�—ry noti irom [he City and to�qplace public properry <br /> ��, � dam etlther� �. �' 1 <br /> �� k �� "�� � �Signature of Applica t��� � ���� <br /> � ,��_-�IS / 33 �L u ,t`�. <br /> ( OPY UF THIS APPLICA.ION TO ' Address <br /> � ��c POSTEI70N IOBSIiE. f� .� �O ''��- � �._� . <br /> l ^,U. hf!(�iiJi.:FFIfJGOGPT. 259�F3£31: I 1-�'1�;�!. j� � �_. .'.)..� ' �. TelephoneNumber '� <br /> I _ 7� 4- 14-2�_ <br /> ' i HOURS lsE1-0FC CONSTRUI'TIGN� �" �`�� / Date • <br /> I �� _ _ <br /> CHECK LIST .� Fee ��U ��� �� /O�/ � <br /> Water Valve Dept. Approval5 <br /> � Drainage �7� I <br /> Curb&Gut�er Engincr.rs � %Z �f— ' <br /> Sidewalk /� � <br /> Water S � <br /> Stree[_� <br /> �� .�� __.__ Communi�c�aqtionsJ�! �----�-��' - j- '�-7-' i <br /> , 1� clor's S�qn u� Trcffic_�j[�i' �r�—t� � � - <br /> / �" ', � ' , / <br /> � I 7 S" Fianning'.�y t � s > ];� <br /> -b—� - ._ /� <br /> Remarks — - <br /> Note: Original to Customer — - <br /> i 1CopytoFile 1p��g <br /> 1 CopY to Inspector Approved by � ' <br /> _ �j' 75' <br /> Dale Approve� <br />