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CITY ENGINECRS <br />EVERETT, WASHINGTON <br />APPUCATION FOR RIGHT•OF•WAY USt: PERMIT . - � . _ ... . . <br />10968 <br />PERMIT N0, � / �C'7Z <br />The Undcrsiq�ed ,� n��+/, li / ",A 4� C�O 1� <br />. <br />Hereby epplias lor permistion ro,Cn�/ST'f, i� [ i'� I�i� 2� l�i C Di�/! /._7� %�µ� <br />At the lollowing Iocatlon �•r1 � ^vC�F- 1.-.) :��'� . _ _ <br />SKETCH <br />(Work to be done} <br />S� ' <br />�ORIVEWA� SEC710N <br />{�,�.� NO SI:AIE <br />I ��---7� <br />� 1'• LIP - / I <br />�30�__ _ I _30'� <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSIT[. <br />CALL ENGINEERING D[PT. "59�8811 <br />24 HOURS BEFORE C0�'STRUCTION <br />CHECK IIST <br />Water Valve <br />Oraina9e <br />Curb & Guttcr <br />Sidewalk <br />Infptttor'sSignaturc � <br />Remorke <br />Ff'- � "r� � �%�-" � <br />The undcrsiQned owner hereby agrees to liold and <br />save harmlcss the Gity of Everett from any and all <br />elaims for darnages that may arise because of instal�a� <br />tion and maintenance of lhe improvement hereto <br />applied tor and further a9rces to remove same upon <br />nolice from the City and lo replace pu6lic property <br />�d Taged thereby. � /� <br />_/_'ti-�1, �'. ! 1 �.;C--rc-vl <br />a .�.lf� h1- <br />3a 9 6 <br />: ���1�5.r � / r/ <br />/ Y <br />'_- �� I�/.r <br />Dept. Approvals <br />Engineers �� �T�_t ��r4it^� <br />Street <br />Communitations <br />Planning . <br />Nate: Original to Customer <br />1 Copy to File 10 9 6 8 - <br />APP Cd N � <br />1 Copy to Inspetto� � �Y _ „_ �( <br />Dnlc'Ap� oved <br />