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�-:--1 APPLICATION FOR RIGNT-OF•WAY USE PERMIT � � 1'�8O <br /> - � =�U <br /> � <br /> CIT';ENGINEERS ' � ���� <br /> � F`fERETT,LVASHINGTON PER�11TN0. / <br /> Thc Undersi9ned�1�1�/' /�/ � �/�i ��—n - '— <br /> HerebV applies for permission to �n�r_ru"vL '3 ;�,=�j/� GrNc..li'�' I>,�A'inr 'f'�-^" �„/ C �f;/ <br /> —h'_r.�-.--�'-� �,1 � � <br /> At the following location�/ f 7� �i✓ Si/ v � � �ll'��� ���—r�-- <br /> ir•� � <br /> SKETCH N -��.;� <br /> (LVorkc�bedone) ��(�V °'�� ' L �� <br /> . . <br /> . Q <br /> �Q� Vtiu�cti t�l5 ��"'--� y ; <br /> . � <br /> I , �►� U+�„�I„I,r'S�-�,,,,� �l�S '+'� � �: ,� <br /> �i�w., i� ✓LSQ �1/� , . -.� �i �;c <br /> P �- ^ _ � �� ' ' <br /> E� � � I ; <br /> / �� �v ,,� <br /> � �` ' (� ��, n v� � i Orarv�wRY <br /> � �.J � <br /> �U����`����� � � ��L� <br /> „ � � <br /> � C�� �� �� -�n � - o <br /> �� � �� � � <br /> < « <br /> __- -- _ — 30 -o �__________.— -.----- <br /> _ [2" conlcc�FT� p2At�t PtPE To 6� I <br /> ��icN L3AS;ct � ►ntsra��Ep �xcsrrKc <br /> LLCD \ FI��E �,e� <br /> �r.S7iL_— � <br /> ��� 2� y <br /> >%% <br /> �� � [b�t-,-�9 8 7 -�- -�- 5- - �_ 3-- --_ __� � _ :;;✓i <br /> � _ - --�,do k- P�De �%- rE i5 � f..�9„ <br /> 4�,•;; L o W D N.R lh'e'S i �j p� <br /> �!E(�, L Ak.'� I'�oAD -y � _ _ — <br /> �� DRIVEwA+ SECTION The undersigned owner hPreby agrees to hoid and <br /> NO SCALE . save harmless the Ciry of Everett from any and all <br /> � ----� claims for damages that may arise because of installa- <br /> �I" LIP J� tion and maintenance of the improvement herelo <br /> applied tor and furth=r ayrees m remove same upon <br /> �90''j,�_____�._—��3���.� notice from the Ciry and to replace public property <br /> ' damaged thereb . ii � � <br /> 7�I-f, , :> _i ����,��.�; ,�7 ��.,�-.�� ._>�...�. <br /> Signature of A-pp>lican[ / j -,+� <br /> 'l?11_,L i'�'tv! .i..� %�,f <br /> ------- �--��-� Address <br /> I ;,'O�Y Or T�iIS A?PUCATIOM TO J"����f- /�fJv:,14 �/i�p� <br /> � t�c POSTED 6N JOESITE ;`�� <br /> Telephon,e,{Nu�m/6er <br /> /.�/ �� J� �'JF^�.L� � <br /> �� C:.LL E�d�31i1��Rl^;G DEPT. 259-8811 ✓ � � �J-� <br /> Date � ( <br /> � � 23 HOIiFS dG�09`c CO�iSTAUCTIG��I� �L �j ,i� % � <br /> �-----___—.—._----J . ,,pt � �!'lL ,.�i� � �/ d', _ <br /> CHECK IIST � �.✓ (� ,) Ce/�C I'%� � � <br /> Watar Valve �C � �fVu Dept. Approvals <br /> Draina9z I �.✓� <br /> Curb A�Gutter y � ``A Engineers_ <br /> l� �u- <br /> Side�valk L� �� �� � � Water_ <br /> 1 Street _ <br /> � � <br /> _ �) h � Ccmmunica;ions <br /> Inspecto•'zSignature 1, r:J,c!' Traffic <br /> �" <br /> ------- --- � \ �� Planning <br /> Da;c 6' <br /> Remarks ___--_. .__ � � '�"� O �� ._-- <br /> \w <br /> Approved by <br /> — ' '- -. . .. .------ d .. <br /> CC9TOMIIA n��n n..n.�••e.+ - <br />