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everett APPLICATION FOR RiGHT-OF•WAY USE pERMIT <br /> P '_ 1320 <br /> . � - , <br /> cilyENGINEERS � . C `��y`, <br /> EVERETT,WASHINGTON � ` r <br /> PFFMITNO._ �� " -Y� <br /> The Undersigned_, i � �� � <br /> � <br /> -- -- -- <br /> erehy applizs for permission to -� - <br /> ' i <br /> At the folloviing location _ / .' � Q .i p.^ ,— _ <br /> �___ _� ! <br /> _..� <br /> SKETCH _____ � <br /> (Work to be donel <br /> � <br /> DRNO SCALE �TION ihe undeisiqned owner hereby agrees tn hold arn1 <br /> f.� � � � - -- _ . �ave harmless Ihe City ol Everett from ony and all <br /> - . ____. .___ _ claims for damages that mxy arise h=cause ol installe� <br /> �l tion and maintenance of ihe improvement hereto <br /> �_._ _.l�_�.LIP ____�J <br /> �„30'�j� T �3U'^i applied for and lurther agrees to remove same upon <br /> notice from Ihe City and to replaa•pcblir, property <br /> damaged tl�ereby. <br /> � . . . .� 1. . , , . <br /> + Signature�o ppllCant L`�'—----�--- <br /> � ._ .._ . ._ . _ . f f <br /> ;�-. �; �� . _,,, , r � s- r i. <br /> � COPY OF THIS �PPLICATION TO 1 Address - <br /> � f3[ POSTLD OM1 JOdSITE. I . . ,. � ., r�'� �— <br /> i CALL ENGINEERING DEPT. 25�J-F3R11I Teled orie Number b — <br /> I74 HOURS flEFORE CONSTRUCTION Date -- <br /> i — <br /> CHECK U5T --___ <br /> Water Valve Fee �---- - -- <br /> D�ainaqe Dept ApProva�s <br /> Cu�b& Gutter <br /> Sidewalk Engineers__._. _ _ ._ _ <br /> _.� Water=--- --- — .-- <br /> I Street <br /> -�" --� -- Cnmmunications <br /> Inspec ignature � � �- �-�-� <br /> Tra/fi; <br /> �� �P� � ' Planning --- <br /> -bate -�---- — <br /> flemarks --- � — <br /> � � 1. �.� - — <br /> Approved by � _ � -}—�{ ---- <br />� ----- , .' � "'7"`-�'i <br /> INSPECTOR'S CU!': Date Approved � p <br />