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(-:--- �, A.PPLICATION fl1R RIGHT-CJF-WAY USE F'ERMIT <br /> c�crctl 1�Q (� � <br /> . � <br /> :I-iYENf,WCf.fiS PERMITNO. ,•I� -S ?y �� <br /> :VEREI"T.WI1StiINGTON <br /> Yie Undersi9ned��� _J-«�-���- !� �� <br /> lereby applics for permission to ,Cpla/_ST�'ifLrel__—f�--�-�—,r�`�������— ' ; <br /> i <br /> ��/ r �i/�7 � � <br /> U the lollowinp location �� i <br /> KETCH ` I <br /> Woik to bc dcnel ( <br /> ! <br /> sE E f1-f'Ti!cN�� � <br /> �` <br /> I <br /> ��� �o Cai';�Sf"�ii��I`� <br /> � <br /> /Cy' /�� � <br /> �� . �j, � <br /> , . � <br /> , I <br /> � <br /> . � � <br /> - F <br /> � <br /> , <br /> ORivEwaY SECTio�� The under'signed owner hereby agrees to hold and � <br /> NO SCaLE save harmiess the City of Everett from any and all � <br /> � -----.{ , claims for damages that may arise because of installa� � <br /> tion ana maintenance of the impwvement hereto I <br /> +��� ��P � applied for a�d further agrees to remove same upon <br /> �y���� 0" notice from the Ciry and to replace public properry � <br /> � —�J� da }'�p,j�yd�the�r y/.//J, <br /> . • Si. tu\���"'�_���/ —�b � <br /> ��. �( �� r� Gv'lAriYX7.� �(:4.?�f /o��: � <br /> :OPY OF THIS APPLICATION TO Addre <br /> 77�- '��4�� <br /> 3E POSTED ON JOBSITE. Teleph ne Number <br /> ;ALL ENGINEERING DEPT. 259�8811 /G�ZJ���� <br /> ?4 HOURS �EFORE CONSTRUCTION Data ' <br /> ;HECK LtST Fee � y � <br /> Nater Valve D0�%�pfn/v815 <br /> �rainage � <br /> ;urh & Gutter � � Engineers_T �/ L� ^� <br /> iiiicwalk Water <br /> � Street <br /> � Communications <br /> nspector's Signature Trafiic <br /> Planning <br /> at� <br /> Icmarks <br /> lote: Ori9inai to Customr,r <br /> 1 Copy to File 11�4 1 Approved hy <br /> 1 Copy [o Inspcctor <br /> �ace Approved <br />