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evereft <br />-�e <br />CITY ENGINEERS <br />EVERETT. WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />1004.9 <br />PERMITNO. '— 6 <br />The Undersigned �� ��S �� il ( S 1�0. C��l N i Y �rjyl C I C i IC:� <. r'/ ��G,� 1 <br />Hereby applies for permission lo �J f��� 2lACT A ��� I7!!,t) J�5�7NALT rr /�i <br />�9Q�Lj1j( / T G) LeT'. ?�1—�O eu' q CATCN Po!ln/ -- <br />At the following location �.,O — i� Rl��f� U AVF_ . ___ <br />(Work to be done) <br />—7'? <br />No ScA�k -- <br />DRIVEWAY SECTION <br />NO SCALE <br />� — _/ ----- -� <br />I" LIP <br />�30.L__._—_____-._ _�30., <br />CVPY OF THIS APPLIL'nilON TO <br />6E POSTED ON JOBSITE. <br />I CALL [NGINF[RING DEPT. 259-88t 7 <br />74 ilOUI3� f3[1-OHC CGiJGI RUC-i�ir;�:! <br />i <br />Note: Original to Customer <br />1 Copy to Pife <br />1 Copy to Inspec[or <br />G �A N D I-�vE. <br />Q��`�tl <br />rl'. (.' J <br />��i -Z z � .� <br />,�•� �au <br />i_-> <br />;::i �. , ._ .. �r,�l <br />The undersigned ewner hereby agrees to hold and <br />save harmless the City ot Everett trom any and all <br />claims for damages that may arise because oi installa� <br />tion and maintenance oi the improvement hereto <br />applied for and i�rther agrees to remove same upon <br />notice from tbe City and to replace public property <br />� . #� ' :.T:. <br />� . - r�� F - ' � � <br />..=�rn�� .. ,.�_ <br />�� 1 J�� APProved 6 h'. <br />Date Approved � <br />���� 7� <br />:� <br />