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<br /> ^'�"r—� � P""ZICaTION POR ?IGHT•OF'�JAY U`?" �ER�1tiT
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<br /> - �� ' 1109 �.
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<br /> ITY EVGIhEERS 7�/' )
<br /> VERE'fT, �Y,�SH�,IGTON PERMITNO, -��%,/
<br /> haUnderv5ned 1�F,�/.lF.YI,� �nVOG. � . .
<br /> ereby applits tor permission to _/'�.V.SY?uGT i4 z�, ��//iq.
<br /> .t the fal�owin� locatian 7 :,/n • t r/C/�rYr�o�rA/ Vrf l-��� �
<br /> KETCH . .
<br /> Nork to Cz donn)' '� '
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<br /> -.-.'�' ,See �o�tod.(�rrr/.a�7.� �i.i oFF.�'1�..� /�OWe�y ,2" ,cc�o ,ce�
<br /> GL-�b7�'3Y�`1�I c��w IYI�.�� >Ottl.�/rYf/ � s�,,�e�p d t1� lve ',�+..�� �i,f DG�/
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<br /> /�g c.9re�d. �-r+J 3 �/'�.-6 /n/S�iiwt-c.Y�l Tv P�c.�. �!'/l DFi,�rn�y[,s .
<br /> - �RIVEYIAY SECTION �,v��p rNG i`i� Fi-UU-z��- S` fn�nd nigned ow'ne hemby a�raes 2o hold and
<br /> , NO SCaLE �� �N�u�.r� .� �� sava harmless the City of Everett from any and ail
<br /> f••-�--�— �.� G���D� ciaims(or dama es that ma ari:o 6ocausn of installa-
<br /> �tJt�-/L TL-'vN'L f N > 9 Y
<br /> � F i^ ��p tion and maintenance of tha imprrnement hereto
<br /> �— . � 3�„ � � npplied far and fur[htr a rees to i ove same upon ,
<br /> f�0 T �+—� ��^��/l3/7� notice f m the Ciry�d9to re I publi�property '.'
<br /> ' d� ed there //
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<br /> � . • �gnature of App icant �
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<br /> :OPY OF THIS APPLICATION TO Ad}`_'e�ss
<br /> iE POSTED fJ�JOBSIT[, /fY/�iSl 7c � .6
<br /> �� �- U � S�3��
<br /> :ALLEfdGINE.RING�EPT.259•8811 Telep�ne`m6��'� s, '.,..
<br /> '4 HOURS Ei=FORE CONSTfiUCT10N • Date
<br /> :HECK LIST • ,Fee
<br /> Vater valve , Dept.Approvals
<br /> )raina9r� . � � � ^ //
<br /> :ur5 Si Gutter � • En�ineers � l��.L Y ��..;
<br /> �idewalk ' � NJater
<br /> �Stree t '
<br /> � Communications
<br /> nspector'sSignature f, . �
<br /> Traffic
<br /> � . . � Ptonn�n9
<br /> �a ta
<br /> emarks '
<br /> nte: Ori�iwl to Customcr
<br /> , �a,,y �o F,�� 110 91
<br /> 7 Capy to Inspector APprmed by
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