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everett � <br /> APPLICF�TIUN FOR RIGHT-OF-WAY USE PERMIT <br /> „ , 10��7 � <br /> CITY EN:•WEERS � <br /> EVERETi '.NASHINGTON PERMIT NO. J �' 7 �� � <br /> The Undersigned L F rY1,I�f,� l���' ;, n.i .: -; i., _ i <br /> Hereby appiies for�ermission tu - �, . •r � ,s � � . _ /� , <br /> � At the following Iccatinn��,' J �a�� �._ � • ;�� LF __ . <br /> SKETCH — <br /> �, (Work to be done) <br /> . S/S�: /��/7�L /-IJ� rJ ; <br /> i <br /> I i <br /> � <br /> i <br /> i <br /> IORIVEWAY SECTION The undersignej owner hereby agrnes m hold and i, <br /> '� NO SCALE save harmless the Ciry of Everetl from any and all � <br /> ' � ��-� daimsfordama y I <br /> I g^s that ma arise because of installa� <br /> � �I'� LIP —�� tion and maintenance ot the improvement hereto <br /> I 30 I �3 J app�ied tor and further agrees to remove same upon �, <br /> � I�-�T- �- -- � , notice from the City and to reppp lace public property 'i <br /> damaged t r l� � � �I <br /> ac r./_sQ� <br /> � Signature of pplic�yZ1t ` <br /> /I. L � 'd� �DO¢ 'L�I <br /> — — /n �oS - 9 <br /> , COPY Of- THIS APPLICATION TO ' Address <br /> , BE POSTED ON JO�SITE . ���+�- �,3� � <br /> i CHLL. [iJGIfdEGRMG DEPT. 259�U:�I' � T�:lephone Numbe� � <br /> g- .>/- `77 <br /> � 2�1 IIOU!;S t,�-f'UHE CONSTRUCTiOfJ�� Date � <br /> ' ---- - ' �� � ' <br /> CHECK UST Fee � � �� <br /> water vai�e Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers �� ���'l� � <br /> Sidewalk Water �,., �'irr��/�a�y..�-.� • �- r� <br /> i/_ <br /> Street ,� � i� -,_ � -� _� /.; w��� ., <br /> --..__ Ccmmunications � <br /> � Inspector'sSignawre Traffic <br /> � Planning . <br /> -�ate ��i:�'.'r� i�.,L-,;��� �,�- <br /> ✓ � <br /> Remarks - <br /> Note: Original to Customer � <br /> , �°,,Y �° F�'� 1078 i <br /> t Copy to Inspector ApProved by <br /> Date Appi'oved <br />