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- - _ _ _ —�—�-- <br /> APPLICATION FOR RIGHT-OF-WAY USE PERhIIT ' - ��b�� •�� <br /> everetl <br /> i __ _ '-e't.,v.—�.,r�' , '�i.� <br /> � —.._.-..—. ._,.r, <br /> :es __. <br /> . �'� <br /> ' `�; <br /> . �'� . " <br /> CITY ENGINEERS +�p�� �� '��.n .;::- <br /> EVERETT,WASHINGTON PERMIT NO..—/m/a8,�,���� <br /> _`� <br /> TheUndersigned �1L«/Q/�(� �//�l/�S � " " <br /> Hereby app�ies for permission to �n iJ Sl�c [T �- Rr ^' � �n/i /� i r �vp,p ,� � D�' M/ Gp Z ✓ <br /> ',�'n,'P�� s� ' �------, <br /> � , :,� „� � �, � ,� � o... � . .. <br /> At the following location �%�7'r �M lTl� ' �- � <br /> SKETCH ����( G •� <br /> (1Vork to bz done) <br /> f�2opds� �-7"w4rl s � ,�_ <br /> J.Pzox t�''-�w"k��� ; � � s;d.G�k <br /> �'►2.rn+.t l,.of.ae-�L, 4 �.�, �`� <br /> � <br /> �e�� ��' � � <br /> � 'oFF �z�p 1 nt� � --}. <br /> _`_ <br /> ��� Prc.��OQs� y�..,, ���/ �`�\ <br /> --' , <br /> �,�. � d��y . �=_' �� �`�, <br /> � ��`°� �` �.�``""` �' I <br /> � �csGec� ( o��` ,� <br /> f0',$ °O h1;!(wU�e,(�C � � ,� � <br /> I �y6W� ! <br /> ,� � <br /> � l" ` a <br /> �R��� ` � <br /> t.i, � <br /> ' G.i w`e � <br /> _ � � <br /> a . <br /> ,� <br /> (h�� � <br /> V` � <br /> DRIVEwAY SEC710N 7he undersigned owner here6y agrcef to hold and <br /> NO SCaLE ` save harmless the City of Everett from any and all <br /> `�l claims for damages that may arim becauu of installa• . <br /> i" LIp � tion and maintenance of[he improvement hereto '� <br /> I 30" i_ �30" I applied for and furtber agrea to removs same up�n , <br /> f� ,_� __ � notice from the Ci ty and o replace public property � <br /> � �d.mac dffiereby. <br /> � �. �.�_ <br /> Signa ure of Applica t <br /> �7J( �-J!P?�-�' <br /> COPY pF THIS APPLICATION TD r I Ad�ress /� � <br /> BE POSTED ON JOBSITE. ,�•�//TT„ �, /� �.5� 3I7�— 6Ksr}'J o�.S�� <br /> �yv� r r� v Telep one N,umber � <br /> CALL ENGINEERING OEPT.259-6817 � 2f -�� . <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> � CHECKLI3T Fee Np FG� ' <br /> Water Vaive <br /> Dreinage Dept. Approvafs - <br /> Curb&Gutter O �/ /d��7�-ry�Engineers <br /> Sidewalk /� � <br /> Water <br /> Strcet <br /> Inspector's Signature � �7��/ �"JJ��_ /r������� � <br /> // 7F�C�/��� <br /> �hr �D� �„Y J �ing� ' �. <br /> ate <br /> F7emarks S� � �� . <br /> � <br /> Approved by . . - . .+K..,..,•+ <br /> . , :Y ai.:I�� <br /> � .'�N^�<., <br /> CUlT9M6R Date APProvcd � � . .::.":��t^; <br />