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'- APPLICATION FOR RIG'ri"f•OF•�VAY USE PERIbtIT �^ V.V• I <br /> C'Crr,l <br /> �...�.� �7�i ' <br /> �.,;.� . _ <br /> 'TY ENGintFERS <br /> JERETT,:�:-;�1iNGTON PERMITNO: '�i'� 7 SJ <br /> ie Un fersigned�_.�%i�-�i�.r77'�� — <br /> :reby ;ppi�esforpermissionto /�,-•1'�!�:�'_Ur.�Z' G /� � /.J•:�Ji:-i.�� ��n/ � <br /> th^ follow�ny I�cation!J �.�,"' �]`y N� ;'.='�� �F-. ' .y.`<-� <br /> �� <br /> eTCH <br /> ork to be done� � � <br /> I <br /> S �� /-f�Tri;Gr�;p i <br /> ��E <br /> ---- . � �! <br /> ( <br /> r ,� <br /> ,_ <br /> .� • . - <br /> � �^ � � i; <br /> 7'����� �* f <br /> � S ` �� <br /> . , _i;- <br /> � � <br /> �Fi� <br /> ` ----- . � t� <br /> :-j, <br /> t <br /> .� <br /> . s: <br /> • �; <br /> . <br /> -� <br /> � <br /> � <br /> ��f <br /> ; <br /> , <br /> . a <br /> �: <br /> DRwcwAr SECiiO�i . The undersi9ned owner hereby agrees to hotd and � <br /> . �NO SCALE� save harmless the Cii�•of Everett irom xny and alI ��'� � <br /> � elaims for damages that may arice because of installa� � _� <br /> -i r �� � <br /> � 1�' uP � r��• 7 , . tion and maintenar.c^ot the improvenent hereto y :� � <br /> �",_ I 30 I `J applied for and lurther agrees to�emovesame pon L _� <br /> �--""�"f'--""1 � � /fj' notice fr �the City and ta replace ,u6}ic�prop�"rcy ; ,� � <br /> dam�,_a ij•cre5y. /J'���. t � <br /> _-/'�./�??r��`[:=-�% i :� <br /> Si!j,�ature of Applicant t '! � <br /> k '' ' <br /> �S/oo ,�;�-�� � <br /> Y OF TH;� 'LICl1TI;�i•1 �f0 Address ' ,i � <br /> OSTED 0::.'OdjITE. � "� { <br /> �S� - /`�o � ' !2 : <br /> L ENGiD!i.c9l'r;G tJCP'f. 25;Si:i 1 'ie�cphone�umber ' � � <br /> I � <br /> GJP,S 6EF:_:_;� COP!ST�ZUCTfUN � � Datc . � <br /> :K LIS? � Fcc �` l <br /> • Valve t � <br /> ,��, --�y Dcj�2. L`.pprovals � , <br /> t�G��tte I_ I I <br /> �.il!c� � Enginr.v. ---- !: 1 <br /> --�---� ,-�---- , <br /> 1Vate%(%�"'..•/ (�•+.�Z'��lLt-���� � E j i <br /> Strcet � � � <br /> .-..- - --------_ Communiwtiuns � � , <br /> :tor's5�.,,n.�tura f I <br /> Yraffic_ .--- � i i <br /> ---- � <br /> ' P�annirg.�_ ! ' <br /> '--------- � . <br /> _"----- � <br /> "'-"--- — . , i <br /> . <br /> ----------------'�--"- ' � ' t <br /> A.: _—'-- "'-_—"---'—'---'--'- <br /> � <br /> C�����,�n.�.i ;.�l:�r.I�tnter ' —_—'^.—__'____'___' <br /> II:i ,�v I.• i � . ' � <br /> I C�•i y !,� 1� � �•'Ini i.•,�yqvr�l Ly _ "____'__"" "�. <br />