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_!-" <br />crcn <br />� <br />:ITY ENGINf[RS <br />.VERE-TT, WASHINGTON <br />AI'PI.ICl1TION FUR RIGIIT�UF•WAY US[ pERM1T <br />11036 <br />PEftM1T N0. � � _7 _�� <br />he Undersigned _��� A�.I TjA.P�7 <br />lercbyappliesforpermissionto.CUniSTlPri�T--� 2T� ���l�c�.� ��U� <br />r <br />u the lollowing location_ /�?��, M_ 1I K! L j r��Qvl f V�¢ �' r�_ � <br />Nork to be done) <br />D� "�`o <br />�f�� <br />S['�" <br />Coh �"t�� <br />DHNEWaY SECTiON <br />NO SCALE <br />� � <br />/��� �Ip � i� <br />� �� T �3C'� <br />OPY OF THIS APPIICATION TO <br />E POSTED ON J08SITE. <br />ALL ENGINEERI�G DEPT. 2598811 <br />4 HOUHS BEFORE CONSTRUCTION <br />HECK LIST <br />fater Valve • <br />aaina9e • <br />urh & Gutter <br />idewalk <br />�spector's Signatum <br />emarks <br />ote: Origiaal m Customer <br />, ��Py �° F��� 110 3 6 <br />i c�Y �o i�� o� <br />ii i%•�;; n'` i� <br />The undenigned owner hereby agrees to hold and <br />sava harmles� tha City of Everett irom any and all <br />claims for damages that may ariu because of inztalla• <br />tion an a� nance ot the improvemeot hereto <br />app ' d for an further agrees to remwe s. me upon <br />o iCe/1�rth�e Ciry rep ce public properry <br />� . .� <br />t ✓-c/� <br />2a �^5�7�' <br />Teteph�net�}umber <br />�/p //A/7� <br />Data' ' <br />Fee � � — <br />' Dept. pprovals <br />Engineers � ���,,�f �. � <br />Communications <br />Pl�nning <br />Approvcd Dy <br />D�ta Approved <br />