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.�retl <br />�J <br />CITY ENGINEEHS <br />EVERETT, WASHINGTON <br />TheUndersigned �-�4-�ti�'�f-��-� <br />Hereb•/ applies for permis.ion to _ <br />'—+%J i=T I�t�� <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT � 114 2 <br />'r— ♦ <br />At the following locntion % �- �`�� % <br />(Work to be tlone) <br />DRIVEWAY ."•ECTION <br />NO SCALE <br />� � <br />I'� LIP <br />30" �30.� <br />COPY OF THIS APPLICATION TO <br />BE'OSTED ON JOBSITE. <br />CALL ENGINEERING DEPT.259-8611 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Signature <br />_� 1�, /�-- <br />ate � <br />'� <br />(. �/� <br />Remark: <br />1�.142 <br />If�EPECTOR'S CGF1' <br />PERMIT N0. � ��� ` � � <br />� <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 installs• <br />tion and m. ;n[enance of tha improvemen[ hereto <br />applied for and further agrees to remove same upon <br />nutice�from the City and to replace public property <br />damaged thereby. / _ <br />� /.�.��. �/� %�i / � =;T�'��� <br />= i.: , ,:� „� _ .�'".� <'� ��G -�C <br />J � / I. <br />':Oi;�f-: � G�� V / `�,(�{� �' ' �C7�;'i �-"r <br />Telephone Number <br />� �c' _ p.,%�/ � <br />Date � % <br />• �j /_ ,- <br />�'j u � 7iI <br />Traffic �,�-:�,�., �-:6„ : F� `, f;�, <br />Planning <br />,� <br />��. <br />.\ <br />� <br />�. <br />A � roved b ' � )..._f._- �_ � . <br />PP Y�t�.i,�.� -�i � r � + r'.-I <br />1':lel� �i I ��Ll'.i�rll-;l c:_ <br />'' ' 3 <br />Date Approved � � � �`� t-} <br />1_�r,1.�1�� �c, �'� I� <br />;' <br />' <br />. <br />