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APPUCATION FOR RIGHT-OF-WAY USE PERMIT j 1 ' �? i
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<br /> CITY ENGINEERS
<br /> EVERETT, WASHINGTON PERMIT NO. 7 —'Z E Pi
<br /> The Undersigned / ( �%�'._�__���r'L.�/�1�/
<br /> Hereby apPlies for permission to C�ti�,/f", :' ��� f-- C" ( i/ P�! i
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<br /> At the folluwing location__._ _ � � 1 Z_ C/j�y /� «�'- ,S`T'
<br /> SKETCH
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<br /> � D IVEWAv 5 CTION � v1 . The undersigned owner hereby agrees to hold and
<br /> NO SCALE U save harmless the City of Everett from any and all
<br /> � - � � �� i \ claims for damages that may arise becausa of instella �.
<br /> �3� i �ia � � tion and maimenance ot the improvement hereto ��
<br /> j------ � ,(l applied for and lurther agrees to remove same upon
<br /> '�' �! ���� notice Irom the Ciry and replece pUblic properly
<br /> lO damn d therr,by� �'-'�>*'�C7iu7 (,.�� J-�� •
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<br /> Si ature f Applicant
<br /> �'a ��,� �s��, Ly„w��n ti��,,
<br /> CO!'v Ur t!IiS APPLiGnill)�d 7U Address �
<br /> '�� (iE P057ED CN J0851TE ��
<br /> Telephon�Ny�tnqe��
<br /> f.�LI. CNGIN:f.RINGUEPT. 759ftFit1 J � y�i �
<br /> :� iiUUH�, 1:1 I�UR[ CONSIRUC110N_ Dete ������� �
<br /> �CNECK LIST Fee � —
<br /> Water Valve
<br /> Orainaga Dept. Approvelt
<br /> Curb&Gut�er Engineers_____
<br /> Sidewelk
<br /> - Watcr
<br /> St�eet
<br /> --�--- --------._-_—_..---. Communications
<br /> Inspector's Signeture
<br /> Traffic
<br /> Planni
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<br /> Hemarks � � --
<br /> Appioved b
<br /> Dale Approved ' , 0
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