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<br /> ers•;n APPUCATION FOR RIGHT•OF-WAY USE PERMIT i
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<br /> CITY ENGINEERS 1
<br /> EVERETT,WASHINGTON PERMITNO. ��� -��� �
<br /> The Undersigned_ ��� . / �; _,` `;,� ��, , i �
<br /> Hereby applies tor pertnission to —"�' _1 �.,
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<br /> At the following locetion_ (" l- '� j1. I �iiUlt4' � _ _._
<br /> SKETCH — —
<br /> (Work to be done)
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<br /> oawEwnv SECiiON e ned owner here�y eg,ees to hold end
<br /> No SCALE seve harmless the City ot Cve�ett from any and all
<br /> - — - � - - � claims for damages thut may erise because of installa�
<br /> \ �p �_ip tion and maintenance ot the improvement hereto
<br /> —�—� applied for and lurther egrees to remove same upon
<br /> �30'� .._ f 30'� notice from the Ciry end to replece public prope�ry
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<br /> dama�ed thr.reby. �
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<br /> ignatul!of pplicen��� � �-� -
<br /> . . ,. . . . ..:i � � � � —
<br /> I COPY OF THIS APPLICAfION TO � A dress
<br /> 9F POSTED ON JOBSITE. f�i'G.�/i:1.Y,�] /.,/N �K�% � L
<br /> Telephone Number
<br /> CALL ENGIN[[RING DEPT. 259�8A11 �.`�Y
<br /> I ?4 HOUHS RfFURF CnNS�RUCTION �� Date �
<br /> . / -;i '� %' ..
<br /> CHECK LIST Fee ' .
<br /> Water Valve Dept. Approvals
<br /> Drainage ,
<br /> Cu�b 8 Gutter Fngineers_
<br /> Sidewalk
<br /> � ----- - Water
<br /> Street
<br /> --_----____ . _ . ___.. . __._._ . Cnmmunicetions
<br /> Inspector's Signeture Treftic
<br /> Planning
<br /> �te —
<br /> Reroarks —
<br />�II APProved 6y . . � !" .
<br /> � � � �.i�., � � �, It� .
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<br /> Date Approved �- • � - 0
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