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APPLICATION fOR RIGHT-OF-WAY USE PERMIT 1110'z <br />I� <br />CITY ENG�NEERS <br />EVERETT.WASHINGTON <br />The Undr.rsigned _ <br />Hemby ayplies for permission to <br />At the (ollowing <br />(Work [o be Aone) <br />OHrvFwnV SECTION <br />NO SCALE <br />� __ � <br />I <br />I� _ I <br />. _ . _ ...�-iP _____—J <br />r.' �.� _. . I- _ . —.— �30"� <br />��')f-'i Ui IIfI:iAPPLICATI0NT0 I <br />� i�F P05lED ON JOBSIT[. <br />t:ALL EP1GiNF[91NG DEP7. 253-�811 � <br />�_?�i L'OURS [IEFOflE CUNSTRUCTION� <br />(,H[CK LIST <br />_4Jamr Valve <br />Diainagc <br />� Curb & Gutie�. <br />idewalk <br />I'___-- <br />� <br />o:��� <br />;j � i 7 - 1_�_ <br />i��-���.,�ti�. <br />_].1�10? <br />PERMIT NO. A ' <br />Thr undcrdgnr�d pwne� heiub4 �q��es Io hold Jnd <br />save harmless ih�: City nt Eu��icU hom eny .ind ;dl <br />clauns for damegcs that may arise 6ecmitie ol �.ns�.Jl.r <br />tion and maintenance of the impiovement heretr� <br />aPPlicd fur and lurthcr a9recs to iomuve same upon <br />no�ice trom thc CrtY ����I tu �epina� public pionri ty <br />Aam.ydd Ihcich �. , � � <br />,� , ,��__.^��l v'/1'��� i .. <br />SYg Viure of Applir,qnt . ------ -- <br />� <br />�UZ'-� .Li.-_:r_, 7 --- <br />Address <br />�� .: ', -- ..'_::'L'_'— - — <br />� �...:--�-' � � — <br />Telephone Num6er <br />`_._ �_`! . ' � �- ----.. _ . <br />Date <br />Fm ���� --f��_--- ._ .. <br />Dnpt. Approvals <br />Engu�ee�s-----. <br />Wa[er____._ . _. <br />Stree[ <br />�Ee�nemns«.'-'��.�i�_ <br />Traffic___ ___ <br />�PFenning-- — --. <br />,,.,.�.,.,..i i,� <br />.��.:ii�mr, n, ��,ri i� . � <br />