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<br /> APPUCATI("- FOR RIGHT-OF•WAY USE PERMIT / G ')
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<br /> CITY ENGINEERS
<br /> EVERET�,WASHINGTON PERhAITNO. L- ��
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<br /> Thc Underi�9�d '"_.�Ci1�G �G r_' .1,.� F� . .� t. _, - /`�
<br /> Hereby aDPlies for pettnis�ion to :1:�'/`�.�' � "�^'-�'' .. �F r � �"��..5
<br /> i,:the following location,t' �`-�: ! ' �,•� �� :�f �`*� •/ .,-.f� •=>F,f f/, ,'% �r �.-. •. ,
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<br /> DRrvEWAY SECTION � The undersigned owner hereby agrees to hold and
<br /> NO ScnLE �' ��kave harmless the Cily of Everett from anV anJ all
<br /> �.=`----:;_�-- ----- -� -� \ j�claims for damages tbat maV arise 6ecausa oi installa�
<br /> �— Sf_Llv �2' ` ^(� ,. `�on and maintennnce of tha improvement here
<br /> '�nPlied 1or and further agrees to rem eame on
<br /> • _ 30"
<br /> -.- -.a. �/ /]�otice from the Cily and to repla e u61ic p erty
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<br /> � p,� /(/�j amaged ther�'J(y,
<br /> 'Y /„/C�.em.L.-�(� I' . �o�_�
<br /> � Signamre of np� ant /
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<br /> COPY OF THIS APPLICATION TO �`•� Addrr.ss
<br /> OE POSTED ON JUBSITE.
<br /> .�� .'t � .'.t/�
<br /> Telephone Number
<br /> CALL [NGINLEflING D[PT. 259�8811 � - +- - �f�
<br /> Datc y—f
<br /> 24 HOURS BEFORE CONSTRUCTION �,
<br /> CHECK LIST Fe�' ' �
<br /> Water Vatve D p IS
<br /> Dra�nage ' ( •�,.� / ,2�
<br /> Curb&Gutter �� �t`•�"� Engineer � J ' � /�
<br /> Sidewalk � Water _f(�!!�'�• l��f �� � �.(%�
<br /> Street yt;
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<br /> .�' �� �"'� j �'".•.^� Communice �On � %� 'j
<br /> Inspactor'sSigna ure TraTfic ��' " ' �
<br /> r J � � . , . - Planninp �� � � -
<br /> , — 5' u-c �'s✓t /_'� $�
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<br /> Remarks '
<br /> Note: Original to Customer �_^���
<br /> 1 Copy to File � �
<br /> 1 CopY to In:.�ectot Approved by � �z /
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<br /> Date Approved
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