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APPLICATION FOR RIGHT-OF-�':l�1' Ui[ PERf,11T <br /> c�crcll . <br /> 108�3 � <br /> ,� <br /> ..�, <br /> � <br /> �I7Y ENGINLIiR5 <br /> FVEREIT,N'ASHINGTO PERMITNO.� /'-':?� _ <br /> Ric Undcrsigned����' -�LU_�C��C���'� �• <br /> �ereby applics for permission to G��"r�`�Lt�•-�_.l-;Z�lE���1� iZS� /�S�ifi=�.L� <br /> 4t the followiny la:ation__�1�+�'�1� �' 7Y.1(.�_�.�STT���,.rJ�-_i.:—rs1�� <br /> iKETCH <br /> ;Work to bc Aoncl . . <br /> SEE A��GN:'"a <br /> a/e � Glyd�/�+..`� <br /> // �o <br /> � �7 <br /> DRIVEW4r SECTION The undersigned owner he:eby agrces to hold and <br /> NO SCALE save harmless tlie City of Everett from any and all <br /> � - � --'j claims for damages that may arise because of instalia• <br /> � tion and maintenance of the improveme�t herero <br /> �`` _il�_LIP s applied for and further agrees to remove same upon <br /> 3��.T.-- �--------.�.3�-.� � notice from t erC'ty an t replace puhlic proPerry <br /> �- - � <br /> dama ed thyfeb <br /> � 1 � _� ��_�j;;L� (,Ja1-�� <br /> SignaWrc of Appiicant � <br /> — -- �z 3n'i �:ST!. <br /> COPY OF THIS APPLIi,AT10N TO Address <br /> 6E POSTED ON JOGSITE. MOn/T�l��l�! T.�i�n'i}Cc'. <br /> CALL ENGWEGRING DEPT. 259�R811 TcicphoneNumber <br /> �I �S= �R-+� <br /> 24 kIOURS EEFORE CONSTRUCTION Date �� S p �f , � <br /> CHECK LIST ' , �'� /r �,��T-- <br /> R'arer Valve ' Dept, pprovals <br /> Draina9e , /�, �� `.�.t;.� I <br /> Curb R Guttcr Enginecrs r G � L� <br /> Sidewalk Watcr <br /> Strcet <br /> Communications <br /> Inspn:tor's Sipnatu�e Traftic <br /> Planning <br /> �c <br /> Remarks — <br /> Vutc: O�ipinal to Customcr � - <br /> , ��,,Y 1� F,�� 10 3 9 9 <br /> 1 Copy to Inspector APproved by <br /> n.�. n.,...,,.,�.i � <br />