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everett - <br />�e <br />CITY ENGINEERS <br />EVERETT. WASHINGTOPI <br />Tl�e Undersigned ;1 I �7 r� <br />Hereby applies :or permission to <br />APPLICATION FQR RIGHT-OF-WAY USE PERMI` <br />i:, <br />At the followinG location �c_ ��_7 —'�'� ��� _ i. `�. ��!f <br />_(�' T lU - 1_` � l: -> <br />(Work to be done` <br />,� <br />L <br />Q :x7�1i1 <br />10329 <br />.._ i .�.�-�_', <br />, — , .�. <br />NU�L:�L� <br />I �: <br />i <br />'r,J <br />; <br />; <br />�� '�i:��� '•)�?f�l�lZ�_ l i)i;��"'. \ <br />t,l(s� OI' �X;5��1{l� HC1;=)!� <br />DRIVEWQY $[CTION <br />NO SCALE <br />�—__ ` � � — __—_ _—.J <br />I <br />I" LIP <br />�-3O'�-----��- - - - --���-� <br />��CGP1"Gf- Ilil�l�irLlC.A�IOI: �It_ �, <br />,��r�osTE�uN.�ousiTE. I�J)n;. 1_t:'. L11L! �i'i <br />�I i:ALL ENGINEEr�ING DEP"f. 259-F3871 /�— ,�.7(�— % 5 <br />�'�: r10URS f3EFORE!;C�:JS=(HUr;l�if)P�!, _ <br />l�l —1 `_. l � <br />Remarks <br />Notc: Ori9inal to Customer <br />1 Cnpy to f-ile �_ �� 2 9 <br />1 Copv �o Inspector <br />r'/ ' <br />—!' <br />�� <br />The undcrsigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applied for and turther agrees to remove same upon <br />notire from the City and to replace public properry <br />damaged thereby. <br />�1L..�_�s,a._�,S i� ✓���i"'_ <br />Signaturc of Applicant , <br />ry7i,— 7 yr - ) „ �� <br />� � y �' .� �f..-,_ <br />Address <br />,'' :-1:T !,/.�✓.:� %'-� ' c�.1 <br />Telephone Numuer <br />?i-'.;— j �;� ?. <br />Date <br />p /C _�J �` ///� <br />Fee , � <br />En� <br />Commun <br />� <br />�'tV'7 �� c �_-�J <br />_ I/_ ZJ - J.f <br />fl <br />A v� � <br />�Ti�-.c, v_ % 2 — /_ %r_ <br />Datu A � proved' ' <br />