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'' . APPLICATION FOR RIGHT-OF•�NAY USE PERMIT 11212 .�
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<br />CITY ENGINEERS � . �
<br />EVERETi,6VASHINGTON PERMITNO. �g- �Z3
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<br />The Undersigned �� �1 '�% �� > ��
<br />Nereby applies �or permission to � --'��
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<br />At the foilowing loca[ion ;' �/ . L= += ;°� i-
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<br />(Work to be done)
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<br />DRIVEWAY SECTION
<br />(� NO SCALE
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<br />� +I�� LIP �
<br />r30'� _�_30" I
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<br />COPY OF THIS APPLIC.4TION TO
<br />BE POSTED ON JOBSITE. ,
<br />CALL ENGINEERING DEPT.25�J�8811 "'�'
<br />24 HOURS BE1=0RE CONSTRUCTION
<br />11212
<br />FILE CO?Y
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<br />The undersi9ned owner hereby agrees to hold and
<br />save harmiess [he City of Everett from any and all .
<br />claims for damages that ma'/ arise because of install�-
<br />tion and maintenance of the improvemen[ hereto
<br />app�ied for and further a9rees to remove same upon
<br />notice from the Ciry and to replacepublic property
<br />damaged-thereby, c%. ' �
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<br />Signatu�e of Applicant �� �.�-f i: � � /ffl
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<br />Address_'� . _ � � � �
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<br />Telephone Number � � —
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<br />Date �,, ' ' '
<br />Dept. Approvals
<br />En�ineers �
<br />Water
<br />Communications
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<br />� APProved by,� /� �''J ^ 1 .: . _ ,
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<br />Date Approved . .. _- _ '
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