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. hs-• . AS/=in�� r 2 �oy /3��in-� IL <br /> ' evrrcM � • • APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11122 <br /> • � <br /> CITY ENGINEERS 7Q <br /> EVE'RETT, WASHINGTON PERMITNO.,�I '.37 <br /> The Unde�cipned__Tj3/�Lf$� ���.AN J�/f' <br /> Heraby appliet}or permitsion to ('n Nc y/(UC T /a ,�,N �_�c�j���T i�/,..i <br /> �c�— <br /> At the followirry�laution_ 2 B U 2. $a k_ �r�,[�C ____ <br /> SKETCH <br /> (Work to be tlone) <br /> i <br /> � <br /> ,:� ,'./!:Gi. ,��f� , .Y�C . ' •v, �.`' ,. � •r . . ..'.� .. � <br /> (°rN�• <br /> � , � .f. . , . /I� � �1A/Y.���`� />r�/� /�i. .y'� il: C'J%: .✓, -S . . . i <br /> , ' , � � . � �� . . . i %i �-.v',�-� ', � � ��r'� <br /> , � <br /> ORrvEWAV SECT�ON The unAertipned owner heiehy agrees to hold and <br /> NO SC4LE save harmless the Gty of EvercU iwm any �nd all <br /> � � � ��i claims 1or damages that may eriso because of installa� <br /> �i" i ip _ � tion and maintenance of the improve:nnnt heieto <br /> L_-=—_�- --- - <br /> 30" '� I applied 1or and furiher sg�ees to remove sa���:upan <br /> I. ... ---- -- �- �30"�1 <br /> notice Irom the City a� to�eplece public properry <br /> Aa ped theieby. � , <br /> ��i't,Q_�aG��_ <br /> iature of Applicant � <br /> _-- - -- -- <br /> -�4.T 15f1Y -� r��'�',C <br /> COPV Of TH�S APPLICATION TO •'•����r�� <br /> BE POSTED ON JOBSITE `�j�'��_�G / � <br /> Teleph,A,�eJJu�� <br /> CALL CNGINEERING DEPT. 7',�9-8811 � F� ���7 fy - _ <br /> JO NOUAS BEFORE CONSTRU:TIDN Date <br /> Q--- <br /> — -� - -- ------_.__.. <br /> CHECKLIST fee� ----- - �-"— <br /> Watm Valve �= <br /> Dreinag� Dept. Approvalt <br /> Cuib R Gutror _ Engineert <br /> Sidewalk ' -" — <br /> ------- Warer <br /> Street <br /> ---_-.____ Communications <br /> Inxper.tor's Sip�otwe - <br /> TfA�!'C <br /> Planninp <br /> �ate--- �-- <br /> _ .--------. .. _ _-- - <br /> Remtrks • � � �� _ _ <br /> 1 <br /> MP�oved hy ---� <br /> CYfTOM�11 Date Approved � <br />