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���.--- <br />__ ____ .._.___.___ _. --- _ _ _ <br />_ . — . _ . _ ----- <br />-- APPLICATION FOR RIGHT-OF•WAY USE PERMIT � 1202 <br />; . everett <br />J , ., . � <br />CIiYENGINEERS n,1,�„ �,.;. � =� .l�_��� <br />EVERETT,WASHINGTON PERMITNO. _. <br />The Undersigned ✓�' nlrl F'//--1 Y r�/�d��t' �� �� <br />Hereby applies for permi i - /L�V✓ �������G�— <br />u <br />At the (ollowing <br />(Work to be done� <br />� <br />ti <br />ORIVEWAY <br />{�_ NO SG <br />I <br />rz <br />��OPV OF THIS A?PLIC TION TO <br />OSTEO 07J JOBS�T . <br />CALL E�'vC:!NE[RING CEPT.259-8611 <br />24 HOURS BEFORE C �'STRUCT!ON <br />CHECK LIST <br />Water Vaive <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />In:pector's SignaWre <br />I � <br />I---- � <br />I <br />`��' ;srN n��� ! <br />� <br />i� 202 <br />p(.�Pc. � Y <br />CUSTOME7R <br />: <br />�U <br />�' <br />,, <br />V <br />5 <br />�z <br />�or � <br />Thr un rsigned owner ere6y agrees io hold and i <br />save hai less the City o Everett from any and all . ! <br />c�aims f r damages tha[ ay arise because of installe- � <br />tion an maintenance uf the improvement hereto <br />applied for and further a rees to remove same upon I <br />notice from the City an to replace public property �, <br />�2/�Z1 UC!_J � <br />S <br />Z <br />P <br />I <br />_ � <br />Stree[ <br />Ccmmunications '� <br />� <br />Traffic <br />Planning �� <br />Approved by <br />Date Annrnvari � <br />