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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> ; everetl � -� " �� `-' <br /> _ e ,, .�� _. , . <br /> CITY ENGINEERS ' ' �:�A� <br /> EVERETT,WASHINGTON PERMIT N0. <br /> The Undersigned � � — <br /> Hereby applies for permi:sion to �� � - ' � � <br /> At the following location ' � � /_—� <br /> SKETCH � e •�� G�� I <br /> (Work to be done) � �r <br /> �1—_ <br /> �i2� aSecd �e� wal� � ��_�' - - <br /> � � ' � 3ic� 4.�/� <br /> ,4pi�ox ly"-�o"H ��l� � \ � -r — <br /> j�,�'�ti�. ,-�� . ,; � � � � �—�- <br /> , - ` <br /> � ; e �� � y� � �' � �- <br /> ; � , , , , � �` . <br /> � . ; - <br /> � <br /> t P2U1oaSed ivew � \ <br /> 1` <br /> I �lt�� �l�/ • _ " '-""�� — <br /> ��,L I _ ' � ��� ;�,., r'��,. <br /> � GuSGu d-� '.I, ��,�, ,r , , <br /> , <br /> , <br /> "° /l�;llc✓Oy2� � .� . � _� ��. <br /> �1 f 6� m,•'� <br /> � ; � ' t�'�: <br /> � ��. ,, . <br /> �i?o�� s . <br /> /�.� N e �'- . , <br /> i <br /> � <br /> 0 <br /> � <br /> b�' <br /> DRIVEwaY SECTION �` The undersigned owner herel�y agrees to hold and <br /> NO SCaLE � save harmless the City of Ew�rett from any and all <br /> �_ ,�( claims for damages that may arise because of installa• <br /> �� tion and maintenance of the improvement hereto <br /> I" LIP applied for and further agrecs to remave same upon <br /> I 30'y_ ___ ___ __.___ 30� ❑oticefromtheCityand p lacepublicproperty <br /> r- � __ <br /> ". ... —._---. — -.. d a d thereby. <br /> --- �.�.2d-� ,c�se.v�s <br /> Signa ure of Applic t <br /> h�7__a__ /(o �/��-e. <br /> ._. __._ . _.-.- ----� Ad �ess <br /> COPY Of- THIS APPIJC/�TIUN TO � �� � ��� a�'g' J� � �— 5�.� �.Sz �7� <br /> 6F POSTED ON .IORSTL I Telep ne Nllmber ' <br /> CALLENGINEERINGDEPT. 259�9H11 ' ��a� lZ� 7� <br /> • 24 HOURS BEFORE CONSTRUCTIOI:I Date <br /> � CHECK U5T Fee � <br /> Water Valve Dept. ApproVals <br /> Draina9e ----- ----- -------- . <br /> Curb&Gutter Engineers <br /> Sidewalk Water <br /> Street_ — <br /> Communications ' <br /> Inspector's Signature Traftic <br /> Planning <br /> at—�— — . <br /> Pemarks <br /> Approved by . . , _ � <br /> Date APProved " . � . . � � <br /> -�.. <br />