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0 <br />.eretl APPLIGATIONFORRIGHT•OF-WAYUSEPERMIT ��203 <br />. � <br />CITY ENGINEERS <br />EVERETT,WASHINGTON PERMITN0.78— ��'� <br />The Undersigned ��c�''Nn/.� ; "H ��! v +�,�- � ✓ <br />Hereby applies for perm ssion o _ ; '._ 7 �- .�-r � i -� : G � .iN� j,���' j � I /V� �TE . <br />I ---•--�---_ <br />� � <br />At the following loca[io . � O(;f; A� R l.niM �„ .. _,1.;. •d� ,._ <br />(Work to be done) <br />; Z. <br />�RIVEWAY <br />NO SG <br />COPY OF THIS APPLIC 1TION TO <br />E3E POSTFD ON JO�SI E. <br />CALL i�NGIPJEERING EPT.259-SF311 <br />2q FiO�IZS BEFORE C hSTRUCTION <br />CHECK LIST <br />Water V.Ive <br />Crainage <br />Cur6 & Gutter <br />Sidewalk <br />Inspector's Si9nature <br />� <br />� ,,,• _.-��r! a��-� � <br />�� _ <br />� � <br />kemarks <br />1�203 <br />oK� <br />�' <br />(�CiPLt�' <br />24--- <br />; <br />�Z � <br />The un ersigned owner ereby agrees to hold and � <br />save ha less the City o Everett from any and all <br />ciaims f r damages that ay arise because af ins;a�la• i <br />S maintenance o the improvement hereto <br />appiied or and further grees to remove same upon � <br />notice from the Ciry an [o replace public property �� <br />damage there6y. �7 , <br />i -.. ' -y <br />. � <br />Smnarivn nS e....r..,... . <br />2/Z ,S�C^% ��� <br />�,;�</ y�n; <br />Date O — <br />Fee � � .�,� �, <br />�e provals <br />Engineers_ � <br />Water i <br />Sveet <br />Communications ' <br />Traffic ' <br />Planning <br />AnProved by <br />cusron�a�e nara n.,,,.,,,,� <br />0 <br />