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�� <br />evcrettl <br />��I <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />Af'PLICATION FOR RIGHT-OF-WAY USE PERMIT <br />PERMITNO. 7� - / ���( <br />The Undersigned �-'i ci i7 � f=E 3 �� � r� �-i j 42.�_' -- <br />J <br />Hereby applies for perrnission to C o h t �' r� � c'f' G Z I�__ Q. <<�h c. �/ �w _ <br />.. `. /' ' !- �iJ -/1-��i <br />33 2 I 5 Z'�'—° �.r , s µL__ <br />At the iollowing location — <br />(Work to be done) <br />4/L <br />� _ ,. � Z�� --- - --j <br />\ tl�� LIP � <br />I"�O�"�'---� � - _' I'3°'1 <br />7 <br />Il <br />�---.._.___ _. _ _� . -- -. _. __.._. _- ll <br />' COPY OF THIS APPLICATIOPI TO <br />'� BE POSTED ON JOBSITE. � <br />CALL [NGINEERING DEP'. 259�8R17 � <br />24 fiOURS pf=.FORG GOi1STRUi'.�(10�1�� <br />'.. CHECK LIST <br />�' Water Valve <br />Drainage <br />. Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />j"wc <br />Remarks <br />Note: Original [o Customer <br />1 Copy to File � r� �� O <br />1 Copy to Inspector <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement here[o <br />applied for and further agrees to remove same upon <br />notic�om thy City and to �place pujilic properry <br />Uate <br />�' /0 , s D .ss,-r-- P!,( I o �y b("7 (� I <br />Fee �— <br />' Dept. Approvals ' <br />EngineeL^� A1''� I��" � / / - / o <br />Water �1�2F CiC.f�� G.�/�Scr/a �✓�/�. <br />Approved by <br />Da[e Approved <br />