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<br /> APPLIC�4TION FOR RIGHT-OF�WAY USE PERMIT �
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<br /> ' CITYENGINEERS ������ �„����
<br /> EVERETT,WASHINGTON PERMIT N0. l�: �
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<br /> Hereby aDPlies for pertni�sion to � - �i � �
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<br /> DRIVEwAY SECTION The undersigned owner hereby agreea to h�id and �
<br /> NO SCALE save harmless the City ot Everett from any and all
<br /> � —��---� claims for damages that may arise bacause of installa�
<br /> —�1 tion and maintenance of the improvement hereto
<br /> ���� ��P � I app�ied tor and further agrees to remove same upon ,
<br /> �30'�'�„ —�_. . �.34��, � notice irom the City and to repiace pu6lic property �
<br /> � damaged thereby. — '
<br /> Signature�of ApPlicant � .- � �
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<br /> �� COPY OF TNISAPFUCAT�ION TO Address , r . �T�.�i,�
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<br /> BE POSTED ON JOBSITE. Telephone Number
<br /> CAI_L ENGINEERING DEPT. 259-6817
<br /> 14 HOURS BEFORE CONSTRUCTION . Date , ' � �,
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<br /> CHECK LIST � � � � ' � ; Fee
<br /> Watar vaive � � bept. Approvals .
<br /> Drainage
<br /> Gurb &Gutter Engineers
<br /> Sidewalk Water ,
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<br /> Planning
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<br /> IlvSPECTOR'S COPY � - � � �
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