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everett <br />� <br />CITY ENGINEERS <br />EVERE'iT, WASHINGTON <br />The Undersigned F'".� "� :� <br />Her by applies.forpermission to <br />� �/'ll�� 5�--`:.,��_. <br />APPLICATION FOR RIGFlT-OF-WAY USL• PERN:IT <br />� <br />.�r; <br />1U337 f�y.,� � �yG <br />1'/ 11�� <br />PERMITNO. —?J ^,��' � <br />%�R. _ "�'r f. � �: � <br />^ �17 i�!��n/ :\��� � <br />/<.: .`�' i" / <br />(Work to be done) <br />'. r'_"��.. _— J..—L.i�C �L..�i <br />i <br />�1�j.Z7 <br />� 122\ <br />I � i <br />� � ,�_� <br />�>,ti: s-YI Ns��� � � `" <br />.�,�� t%C Nt%ri Y i <br />��.�'`=S�TN <br />�RIVEWAY SECTION <br />NO SCALF� <br />�----- 25 ----{ <br />r �•� LIP <br />�.30�. _}._—._—__ __�30.� <br />COPY OF THIS APPLFCATION TO <br />BE POSTED ON JOBSITE. , <br />C�LL [NGINEERING DC-PT. 259�8F.�'� �� <br />7d !10URS (1[FOHE CC'rd,�I���VCTIO;d�I <br />�_ <br />`�,_l�"- ���- <br />—6ate — <br />Remarks <br />Note: Original to Customer <br />,�o����oF��� 1u:i37 <br />1 Copy tu InsP�:r.tor <br />�'s, <br />c:l \.` �, . <br />The undersigned owner hereby agreec ro hold and . <br />save harmless the Ciry of Evcret[ from any and all � <br />claims for damages tliat may arise because of in;talla� '' <br />tion and maintenance cf the improvemer,t hereto . ' <br />appliea for and further agrees ro remove same upon <br />notice ��om the Ciry and to replace public properry . <br />dama;ed thereby <br />�ni,1CL ��L�� �C>i�yy���ht_\ _�•-irES2�vr�' <br />Signature of Applicant � <br />iCUOR `l �+'�Ltr d c`�,�,�(} <br />Address <br />3`.�5'cY,:�� <br />Telephone Number � <br />Date Sd <br />I G - �.� / � yco <br />Fee ��— <br />Deot. Aoorovals <br />n�Prq�d ..� <br />� � <br />o,t� AN� �o���i <br />