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•-- <br />everett <br />� <br />CITY EPJGINEERS <br />EVERETT, WASHINGTOIV <br />The Undersigned <br />Hereby applie; fo <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />9 <br />------�- <br />1�.147 <br />PERMIT N0. 7PJ —���'" (, � <br />A[ the fol�owing location C) ��s ����f i��� � G,��l� �/� <br />(V.'nrk <br />\� <br />� <br />NO 5C'.LE <br />� � <br />I" LIP <br />4.3(7'�.__.._� —__ — —•�30�1 <br />��C'r'1 0` THIS APPLICATIO^1 TO <br />�(i','GC;iED.��,,1:03SIlE � <br />CALL ENGI�V�ERING DEPT. 259�"0311 <br />24HOURSBEFORECONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Cur6 & Gutter <br />Sidewaik <br />Inspector's Signature <br />ate <br />Remarks <br />save harmless the City of Everett from any and all � <br />claims for d,�nages tha[ may arise because of insta!la• <br />tion and maintenance of the improvemen[ hereto <br />applied for and turther agrees to remove same upon <br />no[ice from��`y apd to repiace public roperty <br />darnage rc 1 �� � <br />l,�rr,_-c � /Ir' f� � <br />/ - D. /,�d �� �l0...3 �% <br />Address <br />__�}SS"' G��`� � <br />Tr.lephone Nu ber <br />.7 /`� % � _ <br />Date <br />Fee <br />Dept. Approvals <br />Engineers <br />Water <br />Streec <br />Communications <br />Traffic <br />Plannin <br />ApProv�.d 6y <br />� <br />� <br />