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. : ' <br /> - _PPPLICATION FOR RIGHT•OF•WA� US[ PERMIT <br /> ij c�crru �� .. �' <br /> � . ` v . <br /> C�TY ENGINEERS � <br /> EVERETT,WASHINGTON PERMIT NO._ 7 ' : ?3 <br /> The Undersigned ��o�.NC'L:� /-1�i1! �S <br /> Hereby applies for permission to '�, N^, �i"l �'� A l'I� Cf'U r'11.`(� T'�C.iC �,/ <br /> At the fallowing location�D 4� ��c�•/ ;���•G,^/ ��' <br /> SKETCH <br /> (Work to be done) <br /> S<� /.}7'�Aa�E� <br /> O � 'Y"a Go7767`�0'-� i�"" . <br /> , <br /> � Cr.�..i ve}7`" yl-..� ��G yiee�ed . • <br /> � � <br /> �� �� � f <br /> � <br /> i <br /> . � � , <br /> � � <br /> , <br /> pP,IVEW4Y SECTION The undersigned owner Y�ereby agrees to hoid and � <br /> NO SCALE � save hartnless the City of Everett from my and ali ' <br /> r-- —� claims for damages that may arise because of installa• � <br /> �,. ��P tion and maintenance of the improvement hereto • <br /> �3.—� f �o„ �pplied for and further agrees ro remove:ame upon ; ; <br /> notice from the Ciry and to replace pu6lic properry ; <br /> . dam d hereby. � I � <br /> � Signatu�ica t� � � � <br /> 7�y�lvu�.� ' <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON J0651T@. �'a�— 977 � � <br /> CALL ENGINEERING DEPT.259 8811 Telephone Numbcr I <br /> 24 fiOURS 6EFORE CONSTRUCTION Date �'c s2, I <br /> _ �Z � <br /> CHECK LIST � Fee <br /> Wamr valve � DCpt. Ap�r vals I <br /> Draina9c � : <br /> Curb &Guucr Enginccrs � � <br /> Sidewaik Water � � <br /> Street ' <br /> Communications � ' <br /> Inspector's Signawre Tratlic � <br /> Planning <br /> �Date <br /> Rrmaiks � <br /> NO�C: n�u�tllJl hl(:16UIIIL!f -.'_".__ ._ i <br /> 1 Cupy In I Jr � .i . � ) ----- —__'—____"'_—_____. _ . <br /> 1 Gqry lu In•.�ircln� /lpjnuvrd by <br />