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APPLICATION FOR RIGHT•OF-WAY USE PERMIT
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<br /> 10524
<br /> � CIIY ENGINEERS .
<br /> �� EVERETT,WASHINGTON PERMITNO._ ��i ' .=� 3 � ��
<br /> TheUndersigned . /������. � ', :,,�;IC �
<br /> Herebyappliesforpermissionto �^�� ' r✓��% L� /i� � -1 �. � ;/t ��, .. _,,,,,� .
<br /> At the fallowing locatfon �j �i'� /"� j f d L�r
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<br /> I DRrvEWnY SECTiON ersia gneu Owner hnreby aprees to hold and
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<br /> NO SfALE sav harmless the CilN�of Everett hom any and ell i
<br /> �I �— --"-� -� �� clai s for dam�ge£that may arise because of Installa• j
<br /> � �—�I'�LIP 1t `� ; �'tion and maihtenance of the improvement hereta I
<br /> o I ! ^� appliydlor and further agrees to remove same upon
<br /> � �+��-- --- �----+I•3-� /S � ,�, � „ poticE from the City and to replece public property I
<br /> - �� S(,��F Q�� damag�d thereb�_ . / }�- ,,
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<br /> . - .N Signe�A�plicant �
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<br /> �� COPY OF THIS APPLICATION TO d ess l - —zy,36
<br /> DE POSTED ON JOHSI7E. .��- i�./' ��'� ��,. ( ;".0/� ,�
<br /> Tel hon Numbe�� —�
<br /> , CALLENGMEEflINGDEP1�. 259Nfl11 � , / ,
<br /> ��. 24 HOURS BEfORE CONSTRUCTION Date�• �/ �7—� �C -- :
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<br /> CHECK LIST Fee �f
<br /> Wet�r Valve /"'�'� ���7�+
<br /> Drainage D9pt. App�OValf �,. j,y.w+v'•�
<br /> • Curb&Gutter �/ ,Engineers � �!
<br /> � Sidewalk A�• N�TB✓,Water� 4� c 4 0 _.�;�
<br /> �/a;....r,,i.� w,.rl.. . ..,,vlKoc i,.i F,, .-,rU� cr _ Street ` .
<br /> O��.i✓,iyAy
<br /> � Communiations �
<br /> Inspector's Sipnature '
<br /> Traffic
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<br /> Plannino �,( K -- �� -s�,�/_ �,
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<br /> ate i
<br /> , flemarks — I
<br /> iNate: Original ro Customer
<br /> , , �oPY �o F��e 1_0 6 2 4 - �
<br /> 1 Copy to Inspecior Appmvwl hy �
<br /> Date Approved I
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