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AFPLICATION FOR RIGHT-OF•WAY USE PERMIT �O c�Q <br />everen J �7 <br />e � <br />CITY ENGINEERS pERM1T N0. �% ` �-� " <br />EVERETT, WASHINGTON <br />TheUndersigned �� ir T� � //f.— /�� "�� �� "� �- � -- . <br />� + � , � �, <br />Hereby applies for pertnission to � { " � <br />.. . � - i -. . . �.; <br />At the ioilowing <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SLALE � <br />� �I�� LIP / I <br />I 30+— — -- —_—._�30 <br />r-- <br />�COPY OF 7H15 APPLICAI-IOiJ T"0 �I <br />6E PQSTED ON J0651TE. <br />'� Cl�LI_ ENGINfERING DEPT.259�8811 <br />�'i _a ii0UH5 B[f-OIiE CONSTRUCTION� <br />��- —> 7 <br />�a�� � <br />� <br />_ /' ; . <i� =L�!.� <br />Remark <br />Nole: Original to Customcr <br />7CopytoFile 10529 <br />1 Conv �o ��SPuccor <br />N <br />c�„�,� � r�,.spJ�"„�� �.i <br />�_�/ { <br />_�;,,i��;t <br />.. � -i. \ <br />,.�... <br />�.- -- —__ __ . <br />, . i� — <br />� ,., !>�� <br />The undersigned owner bereby agrees to hoid and <br />save harmless the Ciry ot Evcrett (rom any and all <br />claims tor damages that may arise because ot inslalla� <br />tion and maintenance ot the improvement hereto <br />applied tor and turther agrees to remove same upon <br />notice from the City nnd to replace pu6lic properry <br />dama5ed thereby. _ . � <br />! :.. i _; <br />oignaWre�� of P��cent <br />Address <br />. - -_ '; .�.-: <br />Telephone umber � <br />� 1 <br />, <br />Dept. Approvals <br />�-- <br />.�� ,_ <br />Engineers `/ <br />Water�yy� Jt• �1��.��. .-.. �.. L•-: , <br />Street � — <br />Communicetiytis <br />Traffic 1� , � � ^ '�� <br />Planning �( ( ! � �f (!`�''� <br />,, , �I �I 4,JS ,�} <br />ApProved bV . . _... i . . ,� /� <br />. ,� i�..�%�� t�Y -- <br />Date APP�ove� � <br />J <br />