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eve�en � APPLICATION FJR RIGHT-OF-WAY USE PERMIT 112 4 2 � <br /> � e . � <br /> CITY ENGINEERS <br /> EVERETT,WqSHINGTON PERMITNO. 7F�- /',� <br /> � <br /> TheUndersigned C,.F..ii�- -, ` �� ;.\F'-F-',l � L..�n��Tr: �c.9 �. <br /> Hereby applies for permission to �'" �-� �: --�' -' ' �- �_- .F._-=. ` „� f�� t ' <br /> At the following location _ 5"� r�- (, '� � "� " .� �� i : ;' <br /> SKETCH <br /> (Work to be done) <br /> \ <br /> � � - � ;,_ . �, , '� ��� �i<' �tlri , � :� ;j<�� ei � <br /> ��r,;���� � ' � ��-��% �SCI� A������ <br />� <br /> ., <br /> �' ��� � ����� �.�=� � <br /> ti�r� <br /> U h�ive acC�•��t" b�< `�kif`�i <br /> S��n�� r n.�n�x�� �•,C� <br /> LD . << �- <br /> „1�:�,;;��t�� c:i vL a j�/ .�cl� <br /> , �� �, b!� c,, � z <br /> i�> z c'� / '1 <br /> � , (/ <br /> �� c� :�(«bL� • /��j�j/�l�X <br /> 1 �l:.i <br /> ORIVEWAr SEC710N The undersigned owner hereby agrees to hold and <br /> . NO SCALE_ save harmless the City of Everett from any and all <br /> �� � claims for damages that may arise because of installa� <br /> I" LIP tion and maintenanca of the improvement hereto <br /> 30" i . I 30'�f applied for and further agrees to remove same upon <br /> � � notice from the Ciry and to replace public property � <br /> �jdamaged thereby. � � . . � <br /> � �,�, .---, ' ... <br /> �--?��i � ��_� <br /> Signature of'Applic3nt .� �' ,�/'T-'— � <br /> � ��� ( ? i ri'.� ,� 3�' / ,f�:!�,_ . <br /> COPY OF THIS APPLICATION 70 Address . <br /> BE POSTED ON JOBSITE. ��i " -?,�% � <br /> Telephone Number <br /> CALL ENGINEERING DEPT. 259�8611 % _�- <br /> i . <br /> 24 HOURS BEFORE CONSTRUCTION Date � � <br /> CHECK LIST Fee <br /> � Water Valve - <br /> Oreina9e Dept. Approvels <br /> Curb&Gutter Engineers � <br /> Sidewalk <br /> Water <br /> Q��[// Street <br /> "t Communications <br /> Iry6eEt�ir's Signa re ' � 7raffic <br /> /' - ����L - ��)-7 y Planning . <br /> �? <br /> �te <br /> Remarks <br /> , 112 4 2 � ; ,,, � �- <br /> , , � <br /> �_ nPr�o�ed by �� (`_" � <br /> r.�r �; �r- , � G� ' � <br /> � f Y <br /> � �=� INgpECT03'S COPY.,� Date Approved � Ls7 <br /> i <br /> __ �=��� �;;�-� ;,-�-. -�-� . � I r,�- �.7 <br /> -.�_ <br />