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_ ==-� �-�� ; �-:-�::�,;;�,., <br />Af'F'LICATION FOR RIGHT-OF-WAY USE PC-RM;T <br />c�wetl <br />`� <br />:ITY [:NGIN[ERS <br />:VEfiETT, WASHINGTON <br />he UndcrsiynCd �_�f.'ii>.�_L__-. <br />fcre6y apnlies ior permission ro��: <br />�t the tollowing location ��a 3 vo'�r-.� :noi?� <br />rVork to be aoncl <br />J�iC � %%1 � I i �� <br />�/'- f/� CAi1,ff/�K l' <br />���� / <br />�� <br />ORIVEWAV SECTION <br />NO SCALE <br />� � <br />I�� LIP � <br />i-�'�i- —'----%'°�-i <br />:OPV Of- THIS APPLICATION TO <br />IE POST[D ON J06SITE. <br />:ALI ENGINELRING DEPT. 259�8811 <br />4 HOURS G[FORE CONSTfiUCTION <br />:IiECK LIST <br />Yater Valve ' <br />)raina��c <br />:urb 24 Gintcr <br />,idewalk <br />�spector's Signatuic <br />iatc <br />otc: Ony�nal lo f.ustomcr <br />1 Co��y b� 1 J�� � � r, <br />I C��py tu In•.p�•i.lrn - . <br />� <br />a.o�a� <br />PERMITNO. �%-/1Z-'__ <br />The undersigned owner hereby agrees to hold and <br />save harmless the Ciry of Everett from any and all <br />t�aims tor damages that may arisc because of installa� <br />tion and m�intenance ol the improvemeni %icreto <br />applied foi and fw:�er ayrces to remove same upon <br />notice tioM the City aqdito replace�pubJ%� pro(ierty <br />Ii <br />e <br />♦wu�um � - - <br />�S � 3 S <br />Teleptlone umber — <br />� �7�7�% <br />Date <br />Fec <br />Dept. Approvals <br />Commimications <br />Tralfic . _- _. <br />Planning <br />Approvod hy <br />