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G <br />1�rrC11 <br />CITY ENGINEERS <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />11192 <br />H 7-28-S <br />EVERETT.WASHINGTON �^ 1' PERMIT NO.! 8 <br />The Undersigned �� t\� �t 1 FY•(��'(=jam IC 7C, 1../C r l [-rC%t:✓ T' r I L; <br />Hereby applies for permission to Gh_.t�<�TD- /Z 1-T <br />At the following location z _7 <br />(Work to be done) <br />w— <br />E.x. mA. <br />D91VEWAY SECTION <br />NO SCALE <br />I" LIP <br />��OSt• G � i <br />1 <br />Astl4ALTIG CCNG. <br />P4V IN4 lQ AUD't.. V..1W -ro Ism <br />t:04E 6K_PV'T. <br />(o /•5 <br />1-1 <br />--- -- $--- _--°--o <br />W —' _-W <br />E%IST.8"A.C.MR, MANV-7-- <br />too scale 75 U" S t. <br />COPY Or THIS APPLICATION TO <br />RE POSTED ON JOBSITE. <br />CALL LNGINEERING DEPT. 2598811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK 1_IST <br />Water Valve <br />Drainage <br />Curb & Gutter _ <br />Sidewalk <br />htspertor's Signature <br />--- <br />111.92 <br />AsRtu--rtc Co.r. <br />tvI14G <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 Installo. <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove some upon <br />notice from the City and to replace public property <br />dam <br />dthereby. <br />mature ot `s —T'� <br />Address Ag� <br />Ra 1—cm31 <br />Dept. Approvals <br />Water <br />Street__ <br />C&Tunications <br />C,o��Gl?b QEgv►2E Saw.��fN <br />by <br />