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t.�-_ - _...------------------•--------- ----=-------- --- - <br /> APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br /> `"r"„ 10795 <br /> � <br /> CITV ENGINEERS �� �j <br /> EVERETT,WASMINGTON PERMIT NO. / / '�C� ) <br /> Th�Und�rsignad `l��� OUN <br /> FI�nMaPVlw�fo�Pa.missionto �,'/Jn/^>.�'�c�9 a �7�.5?i//�/.. � /���v <br /> At th�following Iceation Z�/2N�=}(7FYif�< <br /> SKETCH � <br /> nAlork to W don�l . <br /> S�� �r,ac N�v - � <br /> �----� <br /> . <br /> tY4° ��'� . .. <br /> � <br /> �, <br /> -� . DitivEwAY SECT�ON _� � ���� �� The undenignM owner hercby agreas to hold and <br /> _ NO SCA�E �� /9 save harmiess the City of Everctt from any and all ? <br /> '+-- ---'� «'� olaims for damages that may arise because of installa• ! <br /> _� � tioe and maintenance of the improvement hereto � <br /> � ��P applied tor and forthsr agrees to remove same upon i <br /> � �2:�_. —._-�.�..3� notiee from the City anC to replxe public praperty <br /> dam�e�tp�reGy� � � <br /> �'c''c..c%"''Syd�`��1 -�-- - , <br /> � �ynaturo of APPhcant � ( <br /> �/J, L7 , ��/ ? a _ �."l,r?r�z t <br /> COPY OF TH�S APPUCA710N TO � ms^"" = C'L r`i �'' <br /> BE POSTED ON JOBSITE. 3 �� � �7 � 3 <br /> CALL ENGINEERING DEPT.2598811 � Tefl yph�one N�umber . <br /> D���� � � <br /> �4 HOURS BEFORE CONSTFUCTION <br /> CHECK LIS? � � F� <br /> Wate� valve Dept.Approvals <br /> Draina4e <br /> Cu�n&rutcer , Engineen . <br /> Si�ewa�k Water�„ <br /> Street <br /> Communieations <br /> Inspaetor's SignaNn Traffic <br /> Plinnilg . <br /> . • i <br /> ata <br /> Hema�ks <br /> Nete: Origina�to Customer <br /> 1CopytoFile 10795 � <br /> 1 Copy to�nsp.ctor �Pa°�'°4 bY <br />