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everelt <br />• �. <br />CITY ENGINEERS <br />EVE!iETT, WASHINGTON <br />The Undcrtipned /�l �I"!' <br />i <br />Here6y applics for permission to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT 'j 1'Z 3� <br />3 7-2s-s� <br />0-T �: /__ <br />--- i ` `'�� yi <br />LA,C'2c C c _ -- - <br />PEfiMIT NO. � � " / 4 <br />1 <br />At ihe followin� loca[ion ___ �7 O O`Z l'i t�`' i�Q iLc� l� d. JC-� � <br />(Vlork [o bc donc) <br />Ne w' <br />�' I � <br />,� <br />,�j!� i C ;;f <br />� r� <br />DRNEWAY SECTION <br />NO SCALE <br />L.�_— .— _�J <br />I I <br />��_ } 1•� LIP <br />�o.. � T--------}-30��-� <br />-- — --i <br />I COPY OF � IiIS AI'P�IC:aT10?1 TO <br />� ee Pesrr:o cra �assire. <br />CALL EldGiNEERING DEPT. 259-8811 <br />24 HOURS REFORE CONSTRUGTION <br />CFIECK UST <br />�'Jitar Valve <br />Drainaqe <br />Curb & Gulter <br />Sidewalk <br />Inspecror's SignaNre <br />f?�ma <br />� <br />� <br />Thc undersi9ned owner herchy agrees to hold and <br />save harmless the City of Everet[ fram any and atl <br />claims for damages that may arise becau:e of installa- <br />tion and maintenance of the improvement here[o <br />applied for anr further agrees to remove same upon <br />notice froin the Ciry and to replace public property <br />damaged thereby. �f � <br />i .+ <br />�"� '(� .t_� --t. S'- � /fo'-7.. . <br />Signa[uie of Applicant __� ` ,� <br />_177.��'f �fnr �i '•'l/�erf �Y/Li�.-�-�� <br />Address <br />7 (/ 3 - � ? 7. ,�'r <br />Telephone Number �� <br />.l .l f"f4� <br />Datc <br />Fee � 3� <br />Dept. Approvals <br />Communications <br />AnProved by <br />0 <br />