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� • "�;. ��veren <br />;' � <br />CITY ENGINEERS <br />EVERETT,WqSHINGTON <br />APPLICATION FOR RIi,HT-OF-WAY USE PERMIT <br />: , �. <br />1.1394 <br />I ' <br />TheUndersigned �q�l�l.!I�i4 <br />Hereby applies for permission ro �.'�: <br />!: �-� i� � , . . <br />At the following location <br />(Work to be donel <br />, �� ; �;i l'.5 . f � ] <br />, <br />(. ( „. li <br />DRIVEWAY SECTION <br />, NO SCALE <br />r---- --� <br />i I" LIP — �� <br />4..30�.�..—______ . _--'1'3- �-�1 <br />COPY OF THIS APPLICATION TO <br />6E POSTCD ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-3611 <br />24 HOURS BEFORE CONSTRUCTION <br />� _ <br />y <br />Inspector's Signatur <br />� �/ <br />a[e <br />Remarks <br />PERMITNO. �� '�',.l �" ' <br />�_. , '.. , � — <br />i, /; ;�, <br />—!! _ . i i��. • . _L. . <br />, � �; f (: ��� C ' i ���(., �;:.: . <br />.; �_,� ( � �� <br />� <br />) !. <br />)�':1���.r� L��,� � .VG!� � �,';'�::_ �.t,�cl_!� I,ttit�;%�llNLr.tt_�.f, <br />� 1 <br />� <br />11394 <br />L . <br />The undersigned owner hereby a3rees to hold and <br />save harmless the City of Everer.t from any and aIl <br />claims for damapes that may a�rise becaase of installa� <br />tion and maintenance ot the'mprovement hereto <br />applied for and furthe� agrees to remove same upon <br />notice from the Ciry and to replace public properry <br />damaged there6y, � <br />Signamre of Applicant <br />Address <br />Telephone Numbe� <br />Date <br />Fee <br />Dept. Approvals <br />Communications <br />Approved by <br />INSPECTOR'S COPY Date Approved 3 <br />ti <br />