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everen <br />e <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />; 10489�,� <br />���, <br />PERMITNO. 7�- /22� <br />The Undersigned _ A r n o 1 ri � � m r/ <br />Herebyappliesforpermissionto �o�,c1,.. }�, 42" cho' l�-( �FA �a � !''nU <br />(':F.. R.n_,�i —� <br />At the following <br />(Work to be done) <br />�L <br />? <br />Q <br />4 <br />2 <br />C <br />� <br />v <br />��" Chn�il Ir/7f5 fCnCP <br />" `--'- - - , . <br />� <br />� <br />c. <br />i <br />% _ lP, <br />� N,� �<<,r� <br />' -r`"�c� ��%/74, <br />. DRIVEWAY SECTION <br />NO Sr.ALE <br />� x —� <br />��� LIP <br />�� 1�3�— -------+1'30., <br />�COPY OF THIS APPLICATION TO � <br />B[ POSTED ON JOBS�TE. I <br />CALL ENGINEERING DEPT. 259�88 i 1 I <br />24 HOURS BEFORE CONSTRUCI"ION I <br />Qi�f=/G� f�/��'� <br />.�s�- y.�b� <br />�- z y� � C <br />/l%G? ' � <br />� ��� i�/l�s��'G�f�,./�'-'/ <br />�i�-�.�F=;�,�=1 <br />� s;w <br />� <br />� EaiJilO� cCr.C.:Y!/lJ?� �iC•r' <br />� <br />N;; .��tcr I�n�-_. in sireet. <br />The undersigned owner hereby agrees to hold and <br />Q� ��-> -'� save harmiess the City of Everett from any and all <br />claims for damages that may arise becau�.e of instalia� <br />tion and maintenance of the improvement hereto <br />applied for and furt�h -ygrees to removeyame upon <br />notice from thy.2fty arid to epl ubf roperty <br />damage t �by ��T� <br />Sig ure o p i ant � <br />� AddroSs �� � ` '� ` �� <br />�-'ra. � C! �% :i Ji <br />Telephone Number <br />._� �_ �� �, a <br />Date <br />-�� �`Ef <br />Fee <br />O ro I <br />Enginee 6 6 <br />Water��o�. /,� �%v f� <br />�n7�au ' i <br />Street � � . _ _ � <br />� <br />Communicatio r <br />, J �:, <br />Treffic <br />Planning � � �C � <br />se�„ er. U � r ,J'r fJ <br />i �(�i (` =Aii . , �. ��%..l .: <!�. . . . . . . :;i :� . <br />,� <br />Remarks ;; , ,_" . ` .. ,� � . , '�.... �� ;:�. j � ... . <br />- ' � � .. .^_� <br />Note: Original to Customet^ `� �_ ' � � - <br />1C <br />� <br />opytoFile 10489 <br />7 Copy to Inspector 6/��� Approved b / <br />� .( �Z� 7 <br />Date Ap roved <br />