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evcretl <br />e <br />CITY ENGINEERS <br />EVERETT. WASHINGTON <br />The Undersigned / ✓`YC. � <br />Hereby appiies for permission to <br />At the following location <br />/1 � � �_ - <br />� .��7i. _.�� <br />SKETCH <br />(Work to be done) <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />' =��;4-G <br />, E'xis -.: v�> c; ; ; E <br />r,�rz,��, :�45 � <br />' � ^'' �� ;�.�T�.' <br />J �''Cv�' ✓ J :_ . . <br />DRIVEWAY SECTION <br />{.�� NO SCALE <br />1 '. -�� � <br />', corv or TNis nw>�_icnrioN ro <br />' BE POSTGD ON JOBSITE. <br />� �'.,�Ll EfJGINC[RING UEPT.'S9�8II11 � <br />'Td iiGUHS G[F(�IRL CONSTRUCTIOId� <br />� . , . . �. (�-, <br />at-b— e — <br />�F�� l'-�r�—�'��_� �.�:�c' 1�'% <br />'Rem'a�k5 �� �-cl.G B.tvsf.9�.1� <br />Note: Origma to Customer <br />,.���Y to F��� 1. (l4'I. 6 <br />�/ t CoPY l�.liist�ctor /-'����tir� y�,�(j�/� �rG� <br />r� �/iJ�"��: �-�i(�:L'.�� C.�i ! <br />�i� s'1'G- ��/�L�� ��'�.�1 <br />y�.�n.,:�... /�� <br />L l�'1; <br />, <br />_�,�� <br />The undersigned owner hereby agrees to hald and <br />save harmless the City oi Everett from any and all <br />claims for damages tliat may arise because oi installa� <br />tion and maintenance ot the improvement hereto <br />applied for and turther agrees to remove same upon <br />nolice irom the Ciry and to replace public property <br />x >� 2 �i � : � <br />Telephone Number <br />� - ': <br />. �at�--�---- . <br />Q l�i':/s <br />Fee �� <br />