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eve�en A��LICATION FOR RiGHT-OF-WAY USE PE,4MIT <br /> � 10806 <br /> CITY eNGINEERS � <br /> EVERETf, WASHINGTON PERMIT N0. � �� -� U/ � <br /> The Undeisiyned � - -� , <br /> Hereby applies for permi;sion to �� �;/��. ;"i' - � <br /> _ i • � <br /> _ :.i <br /> At th: followir,g location 'C / : <br /> - - ' �-�-:'- ,-�i �.., � � <br /> SKETCH <br /> (Work ro be done) <br /> i <br /> . . .. jj i / /�. jY.f�:) i <br /> I <br /> I <br /> i <br /> �� I <br /> ORIVEq'AV SEC7i0�� The undersigned owne�I-�ereby agmes to hold and <br /> r�, NQ SCaLE_ _ save harmless thc City of Everett from any and all <br /> - --__ � claims tor aama9es that may arise because of installa- ' <br /> � +� L�P �J tion .:nd maintena�ice of the improvement hereto <br /> � 30" �--� f 30�� applied�for�nd .`urthe� s to r�move same upon <br /> �� �__� �-- -- -'1' �rfoncc 1roln the _ . <br /> �Cit}rand � ce pu6lic p�operty �� <br /> ��" damaged tt�reUY. �--�-r-��-�- <br /> �� l�. . _�j_, '�'% i - <br /> L,i"��, rStniP oi APPnc C..-�11--.�--_J"�=- . <br /> � --- i .Ji�.- - __ <br /> I COPY CF TH�S APPL�CATION TO - -=' "' � --�-�- _�.�-4" <br /> Address ' � � I <br /> �� GE pOSTED ON JOBSITE. � , - .i.: . <br /> ���_�- �-�'� % �l i /- � ,�.�,� ,� ,, � <br /> � �ALLEPJGWEfRWGDcPT. 259�Ad� l � Telephonefvumber y , �)��� �" ;! ' <br /> � �� / ,� � <br /> ��1 f�:illJl'3 E�FORr .�NoTEUCiIUf!I� -_`-f � ��`. S��-=�— � <br /> _. _._ . _ . _ DJ[P. :7 , <br /> � CHL�K LIST�� — '��"��___' �y <br /> lNater Valve Fee <br /> Drainaqe Dept. Apprcvals <br /> Curb& Gutter �� <br /> Sidewalk �� . ' � ' � � Engineers___�______ <br /> Watcr <br /> Sdeet_. i �---_ -. �. <br /> ,�.. . _ . .— �, <br /> Inspector'sSignaWre ---� Communicaticns __ � <br /> Traffic _ I <br /> PI,nnin9-- I <br /> at�e - - <br /> , � <br /> — �-. <br /> Remarks i <br /> Note: Original to Custorner �""' <br /> , copy �o F�i� � ('!� �l r <br /> i Copy to Inspector Approved by �� <br /> Datc Approved --- <br />