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APPLICATION FOR RIGHT iAV USE PERMIT <br />r �� 10130 <br />ICITlE�EEPS pERMITNO. /� I� <br />EVERETT, WASHINGTON • <br />1MUnanipnM ��T- ' M\ILGYL A'[IDM.IL"�S <br />IMnbyqclie�torperminimto��="`� pU�� �g �'O45muMt.t OA1 Gl(�l?1A7��1r <br />Attlrbllowi�ploution�� �1.1�':A��.��a---- <br />(Work ro M eoM1 <br />DitlVEweY SECTIp1 <br />NO SCALE <br />�.. <br />jf' Lo /�'oi �eT �RhTcr Od21' <br />COPV OF THIS APPLICATIUN TO <br />BE POSTED ON JOBSITE. <br />CALLENGINEERING DEPT.2598871 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LiST <br />Wsur Valve <br />Dreinege <br />Curb & Guuer <br />Sitlewalk <br />Inspector't Sipnnure <br />NaR: Original to Cutiianer � O��� <br />1 CopY to File <br />1 Copy to Inspector <br />�.i.�alenr �'',el'ec' <br />�` <br />Z— 2Y'is <br />The unEenlqned owner hereby agmn m h�b and <br />fave hermless t�e City of Evereu iwm any anC all <br />cl�imr tor damages that may arise Mcause ol installa� <br />tion �n0 maint e ol t�e imprmement hereto <br />applied to 0 rthrr agrees ro �emove same upan <br />noti .Ci t re IacePublicOroperry <br />F�- <br />__ xw� lu.�L <br />gmwre ol Aoo�¢a <br />32 I I,. W �,"TMO fl� <br />AOErcss <br />3s9-31b1 <br />Tele honeNumber <br />Date �,D> �`� <br />� L <br />Fee <br />� Dept. Appmvals <br />EnB��Kr <br />�WaRr_ �i�e�S�Jc <br />SVKI I � <br />Commun¢a ons� �" ""`�'—'�"�" <br />TnHic� �l :.. L 9�/�>b� <br />flsnninp ���- <br />Pyprwed M <br />D�Le Apprmed <br />