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eve�eft <br />�� <br />CITY ENGINEERS <br />EVERETT, WASHI <br />The Undenigned <br />Herc�y applies fc <br />•�JN: F <br />At the following <br />(Work to be done) <br />APPLICATION FOR RIGHT-OF-WAY llSE ^cRMIT <br />,� <br />TON <br />� <br />iission to CdN STR/1 C <br />!�G R-a-W <br />�, 2/32 H <br />CX lSTING <br />�6. <br />42"WCbD�JV <br />FENGE <br />DRIVEWAY SECTION <br />NO SCAL� <br />f�"� � I -- ��� <br />9' <br />✓ 1 � I V0.� <br />T �)9u <br />?./32 '3� <br />22"° ST. <br />� <br />�' VE <br />10145 ,` <br />PEHMIT N0. ��—��.+ <br />� <br />80� <br />� 3�'C.r, <br />L�MrER L/�vf <br />� 25'3"luFSf <br />oF ¢ <br />�� <br />L� ��;� 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 installa• <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same u��on <br />notice from the City and to replace public property <br />y �('1A�l�''fI aged tt,areby. vi�Y�1 <br />�T L..b"/io� f I�cc �CHcc. Ot/crW� c� �n. �..,..-� � / �FI� <br />S' m�e of Applicant /� � <br />------------ - ?V <br />COPY OF THIS APPLICATION TO <br />6E POSTED ON JO�SITE. <br />CALL ENGINEERING DEPT. 259-8817 <br />24 HOURS 6EFORE CONSTRUCTION <br />CHECK LIST <br />i �� <br />�-��LiC� � <br />Inspector's Si9nature <br />y1 <br />i <br />� � ,� - e <br />Remarks <br />Note: Original to Customer <br />1 Copy to File 1014 5 <br />1 Copy to Inspector <br />�"� / 3.� {��a.._ �.e <br />�, Address <br />nl �' �S �sa - 7�so <br />3�I1" Telephone Number <br />� �— 13-7s <br />Date �a ��� <br />Fee <br />Dep p ro als � <br />Enginee 3 / � <br />�ater <br />st�eet >�. � � <br />Communicatioas � � ---� � <br />Traffic 3 > ` � �; <br />Planning � � -/7' ] � � <br />Approved by ,A��3��/ 7�_ <br />Date Approved � <br />