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_.. __ ._ . �.-. ,.. <br /> -- ;z:--• <br /> everett <br /> . . APPLIC/�TION FOR RIGHT•OF•WAY USE PERMIT � 1 �.O 7 <br /> � � e <br /> " CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMIT NO. ,s _ 2l <br /> The Undersigned_�r ra (L�(__p l� /ri c_ _ <br /> Hereby applies for permission to . �e r. c f. � 2 p���/� D���o�� C ����3 <br /> At the following locatio� G /0 L, /{ � R �e� b E,�� f l r c P <br /> SKETCH <br /> fWork to be done) <br /> / , <br /> '% . <br /> � <br /> DttivEWav SECTION The undersigned owner hereby a9rees to hold and <br /> NO SCALE save harmless the City of Everett fr�m any and all <br /> � claims for damages that may arise because of installa� <br /> �i" L�p tion and maintenance of tlie improvement hereto <br /> 30" —�--- _ I 30" I applied for and further aqrces to remove same upon � <br /> — ��"- -"----' -"-�—"-- 'T �1 notice from the City and to replace pub�ic properry <br /> dam� thereby. _ � � <br /> �lf� <br /> Signatu f Applicant <br /> — �c ❑r .T <br /> IPY OF THIS APPLICATION TO Address � ,1 ygos;3 <br /> P06TED ON JOBSITE. �7=q�L., �f 'f�/�N <br /> Telephone Number <br /> ,LL ENGINEERING DEPT.25&8817 <br /> HOURS BEFORE CONSTRLICTION Datc <br /> ECK LIST Fee <br /> ter Valve <br /> iinage D, �t. Approvals <br /> b&Gutter Enginecrs <br /> �walk � <br /> Water <br /> Street <br /> Communications <br /> �ector's Signature <br /> Traf(ic <br /> Planning <br /> arks �� � 0 � — — <br /> APPraved 6y <br /> CU17'OM6R Date Approved 0 <br />