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APPLICATION FOR RIGHT•OF•WAY USE PERMIT 11026 <br /> everen <br /> - e , ;, <br /> CIT' ENGINEERS PERMITNO._ 3�" `4 � <br />' EVERFTT,WASHINGTON � <br /> i <br /> r i �.ril :/`9/ i/-� 1 <br /> The Undersigned�: �/ , � <br /> Hereby applies for pertnissian to <br /> - nc � i I /� � rf " 'f d /��� � — <br /> / i <br /> At the following Iceation i � },f �{/�S/ � � / - — � <br /> SKETCH <br /> (Work to be done) � <br /> ��� ����{�N%�J <br /> I <br /> i <br /> � <br /> II <br /> I DHIVEVIAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless lhe City of Everett from any end all <br /> claims tor damages that may arise beceuse of installa- <br /> II r--�--- _ � tion and maintenance of the improvemen[hereto <br /> � �I" LIP —� applied for and turther agiees to remove same upon <br /> � 30„ —"r-- I DO"� notice trom the City and to replace public property <br /> I -- I ----_--.__---•t' - dama9ed t e ebY. l' � T/r <br /> ',I �� � � <br />, I Signatur Applir.ai <br /> � 974 45T�� A�� <br /> ._._.- ----.._ . . ,� dd�ess <br /> COPY OF THIS APPLICATION TO �I �y.����� � `lI/� ��_/1_ �. <br /> �F POSTGD ON J06SIT[. Telephan�N�u,�mber_ 1?4� , <br /> CnILGNGINLf-RINGDEPT. 259�8[il1 ' 4'�� ----- ' <br /> Date <br /> 74 HOUHS BEfORE CONSTRUCfIUNI <br /> Fee �1 � <br />. CHECK LIST pept, pprox als � <br /> Watar Valve `i <br /> Drainage Enginee�s � � � �` ��J <br /> I �, Curb&Gutter Water_ <br /> Sidewalk — <br /> �. — Sireet-- ----. — <br /> Communications_ <br /> � Inspector'sSiBnewre Traffic <br /> Plnnning <br />� -T�te - <br /> Remarks <br /> Note: Original m Cusmmer r� c <br /> 1 Copy to File 1.� ��( p Approved hy <br /> 1 Copy to Inspector ___---- <br /> Date Approved <br />