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f— APPLICATION FOR RIGHT��.�Yj4Y USE PERMIT 11Z78
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<br /> CITYEN� N' RS PERMITNO.��'/ �`
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<br /> EVERETT,WASHINGTON v ` C,}`�
<br /> TheUnders�gned �/�v � � � �� �F ti /'r EA��f/�T !'H isti
<br /> Hereby apP��es for permission to�L r—a!'—����'�i'ST t%� �//ST :'Nv"^�� /�f�'�/FiCF'T/�'7N S/Gif/-r
<br /> /.-/ ! �. = .' ) .'rl' ! o�i=� —•�ir �c er/ G/T II '20 �</.
<br /> At the fotlowing location �r,� ✓"%%: �.' �,•�'�� �^7i�1�-1 i S �i.('Cc fl0�,t 5 _
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<br /> ��T��`�d� The undersigned owner hereby agrees to hold and
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<br /> 0 AL save harmless the City oi [verett from any and all
<br /> �.- kO• Q� �/I � claims foi damages that may arise because of instalia•
<br /> 0�� tion and maintenance of the improvement h?reto
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<br /> I ��� � A� /���A�/O�s applied for urther agrc o remove samr upcn
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<br /> no ce fr m the Ciry and o rep ace public property
<br /> �j� (�N�� �� �N, ��1�• d d ther by. �
<br /> I F ''— ����t._ ��'�-
<br /> Siy ,,ture plicant
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<br /> ' ;;OPY OF THIS P.PPL�CATION TO—, A dress I —�
<br /> � BE POSTGD GfJ JCRSITE. Z�y ' `� I �o�O
<br /> Telephone Numi�er
<br /> CALLENGINEERING6EPL259�Q911 � ���ne_ 2� � I��R
<br /> 24 I10UR5 BEFORE CONSTRUCTION Date
<br /> CNECK LIST Fee /ti'o /���.;
<br /> Water Valve Dept. Appr.�V015
<br /> Drainage
<br /> rCurb&Gutter _� Engineers —
<br /> �dewalk Water
<br /> Street
<br /> Commtmica[ions
<br /> Inspectoi s Signatura Traffic
<br /> Planning _ _
<br /> �ete —
<br /> Remarks 112 7 8 - -- �
<br /> Appreved by
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