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�'—' APPLICATION FOR RIGHT-OF-WAY USE PERMIT �119 3 <br /> ^—� cverett <br /> � r�r�, �,�:� ._ � , .r' . ,�. '�-� . <br /> , , - , <br /> �ITY ENGWEERS --�— . <br /> EVERETT,WASHINGTON ���� � PERMITNO.7B — �O `� <br /> The Undersiqned � n� G�n ��4-� � ✓� t <br /> Hereby applies tor pertnission to 'Z, — '�_ S � ni' �v,G' i=Ja.�i S <br /> At the following location L_ .,�— J Da,ra� ���JG'�-r� -�_� <br /> 4: o z� 5�oh�.is> .�✓ e� <br /> SKETCH <br /> (Work to be done� <br /> a <br /> •C\�` --__ —_ _ _._--- _ <br /> \ <br /> � <br /> � <br /> � ��p�f'y <br /> � <br /> � ; �----- �_ �- <br /> _ , <br /> �� � <br /> � I <br /> \ — �/O�cr7'y �r� <br /> � �--- Z S ' �ZS,� <br /> SCcL �.�r5 ! �/�VC <br /> ��1� ' / <br /> DRrvEw.1Y SECTION � The undersigned owner hereby agrees to hold and <br /> NO S�aLE save harmless the City of Everett from any and all <br /> � — L' --� claims for damages lhat may arise betause of installa- <br /> I" LIP tion and maintenance of the imprwement hereto <br /> � applied for and further agrees to remove same upon <br /> �30';_;�_ _}__ _�_ I 30" notice from the City and to replace public properry <br /> ,Ll� --�i' . <br /> damage_there��� ^r//� <br /> Signatu�ofA�p1plic� /�� <br /> _—____ ____ _- - �.�fn�� Ni � � �-� d nt il' 0.n; <br /> COPY OF TH;i; qFPUCnTION TO Address �� y� <br /> BE POST[O ON JOBSITE. I �7 '�— q 3�9 O� <br /> � elephone Number <br /> CALLE�C,I�:E[RI�IGDEPT. 259-8611 � �l�- 7,S^�6 <br /> 2-0 HOUiiS BEFORE CONSTRVCTION� Oate <br /> _ _— --' <br /> CHECK LIST Fee <br /> Watxr Valve <br /> Drainage Dept. Approvals <br /> Curb&Gutter Engineers <br /> Sidewalk — <br /> Water <br /> Street <br /> _ Communications <br /> Inspector's Signature Traftic <br /> Planning <br /> a[-6 e--- .. <br /> Remarks <br /> �� s � � <br /> Approved by <br /> evsTOMER Date Aporoved � <br />