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APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br />everen 1 O ^ -j C <br />e .� ��L� <br />, <br />��>�� <br />CITY ENGINEERS <br />EVERETT, W!{SHINGTON PERMITNO. � < —�U % <br />�. TheUndersigned Arch��Pc�ur4l CnF��nF7'Sr �hG <br />'�� He�eby applies for pertnission to Co n c t r u c t a /_+ � C o,� c �/i.. � <br />i At the following location <br />(Work ta be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />j------ /S - -�'{ <br />� \ I" LIP <br />30'�. _— _—..4.30 I <br />�� <br />COPY OF THIS APPLICATION TO i <br />BE POSTED ON JOBS�TE. <br />CALL ENGINEERING DEPT. 259-£7£i11 i <br />24 HOURS f3EFOR[ CONSTRUCTIONI <br />�- - _ __ _ _ <br />-� _ L " ! �. <br />ate <br />Notn: Original to Customer <br />1 Copy to File <br />1 Copy to Inspector <br />'V <br />ti �-- <br />� /� <br />ZJII <br />SCw <br />T Nn1er� i <br />�to kc�d ;,, � <br />{�e/d.� �t/.�ilzZ <br />Syr/%oFF' TO Bc" �taJUS rt'f.1 <br />Tv G. ; yOr' /F Cov�Cd &Y <br />ASPNA�-i, <br />Nc Src(e <br />�co�(%.,r� (.._c-... <br />��/7�74 <br />� �!� i. �l <br />� • <br />G Q <br />The undersin�ed owner hereby agrees to hold and <br />save hzrmless the City of Everett from any and all <br />claims for damages tha[ may arise because of installa� <br />tion and maintenance of the improvement hereto <br />applied ) d further agrees to remove same upon <br />notice from e City and to replace public property <br />dam ed ^ er y. <br />Si ature o� plica t � i <br />�t�T .z �3�,Y 33y �;1.�. <br />Address <br />.�� ti - S�3 2�_ <br />Telephone Number <br />VtlIC �/ <br />_,a...�.- � 7. s O �� • 5�7��� lo '� <br />Fee �Tr I <br />pt. Approva s ' <br />Engineer �7,L`�,y""�— . <br />wat���, IN , f,,r.��/�i�� �a f�D I�, <br />Street �=��". ._,�f . <br />� <br />Communicatio s ' <br />Trafiic � �--���� <br />Plannirtg' ' �� � (p I <br />.JQ(��__� � �lr /, u� r . <br />� 0 � � � APProved / <br />� � �% !v <br />Datc pproved <br />