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everen <br />� <br />CITY F.NGINEERS <br />EV[RETT, WASHINGTON <br />APPLSCATION FOR RIG:iT-OF-WAY USL PERMIT <br />10457 � .<- <br />/ j � <br />; .� ! <br />PERtriIT N0. •-- :' -- <br />The Undersigned _ � � • -`� <br />. _� .I=� � � -� r-- - �' �•q <br />Hereby applies for,permission to - - i _ _-, l:, / _ <br />� <br />At the followiny I <br />SKETCH <br />(Work to be donel <br />!Grr:S� � i, ✓l <br />. .= �• -.. _'i^ <br />. � �. .. . . .. .. <br />—�— - <br />L�"_,":' ..: �i � : L/ c�, <br />, <br />� <br />�� -- ; <br />�, �RI\'EWAY SECTION <br />NO SCALE <br />� —_�jI <br />'. � 4` .�1 � I <br />I�� LIP� <br />� I"3�T__ _____�30 I <br />7 <br />�COPY OF THIS APPLICP."fION TO <br />E POST10D ON JOBSI}�E. <br />CALL EfIGIfJL=ERING DEPT.259-ftNit � <br />2.i ilulliiS b�FGBL CONSTRUC�I IC�fu��, <br />�i <br />R=marks <br />Note: Oriyinal to Custamer <br />1 Copy ro File ��� J 7 <br />1 Copy to Inspector <br />'Y �i) �' ,. <br />� <br />- . x%��.-�'c' <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everet[ from any and a71 <br />claims for damages that may arise becaiise of installa� <br />tion and maintenance o� the improvement hereto <br />applied for and further ayrees to remove same upun <br />notice from the City and to replace public property <br />dam age j.ther� <br />� � - �' J�'�� /.l�j'c� 4i—o--- <br />� Signature of Applica�t' <br />�J � 7� T'' 1# S2 / <br />Address <br />,'_�. 3- r G 3 2 <br />Telephone Number <br />vaie p <br />���� � /� ` S� <br />Fee <br />0 <br />D t. A pro �Is i5�� �,.�'/� <br />Enyin��e�rr / �� <br />WaterYF-• 2s�, er /1''a erS'C�e� � /.?ss-j� ; <br />r � <br />Npproved by <br />� ��/' / <br />i <br />Date App ed <br />