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. eyeeell <br />ue <br />ITY ENGINEERS <br />VERETT,WASHINGTON <br />APPLICATION rOR R;GHT-OF-WAY USE PERMIT <br />10969 <br />PERMIT NO. T <br />he Undersigned I PURVIS <br />enby Moles for permission to COA157-eckT A —2 ASyyy�y� D/ v✓ <br />t tha following location <br />KETCH <br />MoAc to be done) <br />O,& -eo Celrs�-� <br />. r• <br />omvgww SECTM <br />NO tCALE� <br />r LIP <br />:OPY OF THIS APPLICATION TO <br />IE POSTED ON JOBSITE. <br />:ALL ENGINEERING OEPT. 269.8811 <br />A HOURS BEFORE CONSTRUCTION <br />ECK LIST <br />:ttr <br />ntpecta's Signstun <br />p <br />wnsrks <br />Wait: Original to Customer <br />I Copy to File 10969 <br />1 Copy to inspector <br />TM undersigned owner hereby agrees to hold and <br />WA harmless the City of Everett from any and NI <br />dalms for dsmaga that may arise because of Installe• <br />Non and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />damaged thereby. <br />ligna Ile <br />Adders S t. <br />gle one imWr <br />7�Z-9'f2d <br />Date 2 — <br />ALZy —7 ' <br />a <br />Dept. Apprwds <br />Engineer <br />Wam <br />Street <br />Communications <br />Traffic <br />Planning <br />Approved by <br />r_ <br />c <br />