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���«•�� <br />.{ <br />.a,: <br />�'�� <br />APPUCATION FOR RIGHT-OF•WAY USE PERA1IT <br />ClTYENGWEERS ^ � � ., <br />EVEFiETT, WASHINGTON ' PERh11T N0. � <br />TheUndcrsigned NanYN � 7/-75T ('aivSTF�lTioR/ Co. � <br />Hpreby appfes for perr�ti:sion to ('��� sTK�c T T/1�'= i,� SYNA/_T [i�w 't -- /�� � -/-2� '-� <br />IWork to be do�e) <br />. DRIVFWAY SECTION <br />NO SCALE <br />� � <br />1" LIP <br />30" _T30" <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON J06SITE. <br />CALL [NGINEERING DEPT. 25�J�F3811 <br />24 HOURS OEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />prainanr. <br />Curb & Gunr.r <br />Sidewalk <br />Inspcctor's Signawrc <br />Remarks <br />Oriqinal to Customer <br />1 Copy Irt filo <br />1 Cupy tu Im.prv�ior <br />�}7TAckGp <br />.is''/s'� -,�/ <br />./ �( <br />lne undersigned owner hereby agrees to hold and <br />save harmiess the City of F.verett from any and all <br />claims for damages that may arise because of installa� <br />tion and maintenance of the improvement hereto <br />applicd for and further agmes to remove same upon <br />notice from the City ���u ro rep ace publiG properry ./ <br />darr�aged thereby. ,�jy�i �JL',t�e.,...c.�l.� <br />s <br />ate �3 0- ��F i - So• <br />. Fee � • <br />Dept. Appr vals r3 <br />Engincers�:�—y��/Ze�l+�s=`t — <br />Water <br />Communications <br />Traflic <br />