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� -� � APPLICATIONFORRIGHT-OF-WAYUSEPERMIT 1��60 <br /> • everc�; . � <br /> �f ' � <br /> � �:.�8 ."_/_''� /`=, ,l '�Y�f�c ;�=r �/l/ �C�io��i �5-/�,/��'/> _) <br /> . <br /> , � <br /> �- i <br /> CITY ENGINEERS / . <br /> EVERETT, WASHINGTON PERMITNO. �TS" " �o <br /> The Undersigned pr _ n1!�,t �/� - ,I <br /> i <br /> HerebyapPlietforpermissionto CONSYRJ�T r� �l1 A"SP/T/-}�LT ���nC /-1'n/�7 <br /> 7"%�(' O�/5-f.2 G" i�����li ��v1 a <br /> Atthefollowin9location ��pA �l�f,�ri�:r'i� �_'t/�+-✓�,_• ��<- nG rur��"T=��C„��� <br /> fiR4 �r.,� <br /> SK[TCIi <br /> (bVork to be done) <br /> / �� 3 S� <br /> Or�rc�..w s�1c� �o( bJ nu �i- �c(or , . <br /> � I� L ) tcl0 +n��C <br /> $�Po tI'�o �L�';J-a.-N� $FP�C� �0 / / �� raCIV1 /u .� W1[�G-..�.'f � CUI J J .0 <br /> 1 ( cf /k {a Nr� Nu•,•(o.,.� �., .....s,v �(� �.::l, P�.ts�b�y ..� �o� ��� . <br /> �.o.,+.yv,c.a�... . K•os�.cv . a <br /> so � ��,w�ro� F.. !. . <br /> �� �-1-k-� 5' <br /> DRwEwav SEC7i0N The undersigned owner hereby rgrees to he'd and <br /> NO SCALE save harmless lhe City of Evere[t from any and alt <br /> �'--- -� claims for damages that may arisa because of installa- <br /> �� �p� ��p tion and mainteoance of the improvement here[o <br /> applied tor and further agrees to remove same upon <br /> �30" i I 30 otic m theCi[ <br /> —�---- ----- ---t�—�� y nd to repl �e public property <br /> da a d ereby. ( <br /> � � ��c�-�.�-v <br /> Sign ure of Apphcant <br /> �•O goX �tCP, <br /> ��O?Y ;;� �iHIS A'r'PLICATION TO � Address Gn <br /> I EE PO�TED ON JOBSIT.E. I �'U�'� ���• 1 CJZC' <br /> �. Tclephon�Number p �' ' � <br /> i::,LL �;1G!?ic::n�P1�ii.E?r. 2�'}3R17 7.�� —� � l I t�^�117� <br /> �2�1 HOURS [ EFORE CONSTRUCTION Date ' I <br /> CHECK LIST Fce�`v � � . 3� .� <br /> lVater Valve Dept. F1npro�Is� "�J�3 <br /> Drc�naq9 <br /> Curb u Guuei En9ineers <br /> Sidewaik <br /> b9ater <br /> Stree[ <br /> - Communications <br /> Inspacror's Si9naNre � Traffic <br /> Planning <br /> �Sate <br /> Remarks <br /> 1� i6o <br /> Approved by <br /> CU9TOMER Date.lpprovecl Q <br />