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evcrctl <br />� <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />The Undersigned �' � % ti G__ <br />Nereby applies tor permission to � <br />APP!.ICATION FOR RIGHT-OF-WAY USE PERMIT <br />/-t <br />t <br />�_�7�,C7U <br />7�-- ZUC� <br />PERMIT NO. <br />,ci <br />At the tollowing location �� �� 4'1 �'� ��� ___ <br />�Work to be done) <br />CV <br />CJ <br />I � <br />? <br />OflIVEWAV SEC1lON <br />NO SCFLE <br />I---- 2v �i <br />{1" LIP �1 <br />�30��{----- fT_ 5 _-__—'{'30��,� <br />I COPY 0= THIS APPLIGIT�UN lU <br />� P,F POSTED ON JO[35f�E �. <br />�:�.LL ENGINE[RING DEPT. 259�8871' <br />:.�� i .If)�_ !7; P�I��ORC CUNSI RU(:IION, <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb $ Gut[cr <br />Sidcwalk <br />, � ��. :.(� , <br />l t. ' <br />Inspector's SSgnature <br />,� � (; 1 <br />liemarks <br />Nnic� Onginal to Customcr <br />, conv co F�ie 1(1 r, s� n <br />1 Cnpy ta Inspecto: � <br />-f�G� �F f�', ST/rV6 '• <br />P.9//E�f9�iVT <br />[LiT tt 7 <br />Y�is'b <br />� <br />The undcrsigned owr.er hereby agrecs to hold and <br />save harmless the City of Evem[t trom any and all <br />claims fur damages that may arise because of installa� <br />4 ; tion and maintenance o! the improvement hereto <br />applied tor and funher agrees ro remove same upon <br />notice from the City and to replace public property <br />damaged thereby. , _ <br />���' ',�p�..��. <br />�<<N�� ��,�� �� <br />--�� " Gf '/� ---- <br />�ate �/ -,cy- �'� <br />' /�.��: �� <br />Fee <br />Dept. Approvals <br />Engineeis� �¢i�� <br />Water � <br />i�-• <br />s«��� : ., . <br />Ccmmunicatio�r <br />Traffic� � <br />Plannintl_ . — , ��'�Q �Z <br />-T--- <br />Approved t 7 � � <br />--' t <br />Date ��practy i �-� �. . <br />i� /��`- ./.7, ���� <br />