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, ereren <br />e <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned � � <br />Hereby appiies for permission to <br />At [he following <br />(Work to be <br />�_J <br />t' <br />APPUCATION FOR RIGHT•OF-WAY USE PERMIT <br />11287 <br />'%{- � r k� <br />, c, <br />PERMIT N0. <br />'. <br />f ' , <br />J <br />J <br />W � <br />4 �–.- �-. � <br />� -__�, <br />, �.� � <br />; �. <br />; ��-.:. <br />,� � <br />I 'Ua,':J � <br />� <br />_' ' --_—_..._. �— I <br />�, 1 � <br />�� � �- <br />, <br />v-, i,, <br />i <br />�� <br />' l /l �. : <br />�RIVEWAY SECT:ON <br />NO SCALE <br />�------ --. _—� <br />� �1�� LIP <br />30'� _ <br />__ I 30" I <br />—7 �f <br />COPY Of THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK UST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspectors Signature — <br />Remarks <br />11287 <br />- <br />- i �• <br />'. �, g ��ti��Wp�p. <br />; t <br />� <br />____ -- ._ � _...____.� <br />;,. <br />� �-'�=�-�<< <br />,: � ,. <br />� <br />� ���� � � • <br />` <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />damaged there6y, <br />Signature oi Applicant <br />i . <br />Address <br />., <br />Telephone Number <br />Date <br />UePt. Approvals <br />Street _ <br />Communications_ ,�' <br />Traffic <br />Planning <br />APProved by. i ; <br />.}�, �1 s.`,' � <br />i'�v'� I��li � <br />WSPEC7pR'S COpY Date Approved .��/L� /%�l. / p <br />� '� � <br />� <br />