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evelc:tt <br />� <br />CITY ENGINEERS <br />EVERETT, WqSHINGTON <br />The Undersigned � <br />Hereby applies for pertnission to <br />r , <br />At the f II ` <br />APPUCATION FOR RIGHT-OF-WAY USE PERMIT ��� 3 2 i•', ,t!' �', <br />� <br />PERMITNO. % � — �' ��" <br />, . - �. . .. � ��.-i� <br />o owing locatwn _ � � , , �' , ' „, f,, ; � . , .�, <br />SKE7CH � 2 U� � c�- G'� ,� , J r� --- <br />(Work to be done� <br />� --. ___._. _._— — —� ' . . . ��. <br />---�- -----_- . <br />/ -� - -- . -- . ._. _ _. <br />/ <br />` �t-�, � �'� <br />� , d� <br />DRIVEWAY SECTION <br />NO SCALE <br />� ---___� <br />�'� LIP <br />30'� __. _ 1 ___ _ __ _ ___._ I 30 I <br />_� �� <br />CQPY OF Tt115 APPLICATION TO <br />BE ?OSTED ON J06SITE. <br />CALL ENGINEERING DEPT. 253�8811 <br />24 HOURS �EFORC CONSTRUCTION <br />� - /� `7i <br />�e� <br />Remarks � /� <br />11�32 <br />� � � <br />— ----- — - ' . — ..>. <br />The undersigned owner hereby agrees to hold and <br />save harmless [he City of Everett from any and all <br />claims for damagr.s that may arise because of installa� <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the Ciry arid to replace public property <br />damaged thereby. <br />Signawre of A'pplican[ <br />Tr,lephone Nmnber <br />-- . . , . � �% �� <br />Dept. Approvals <br />Water_ <br />Street �� <br />Communications \ <br />Traf(ic � <br />Planning � <br />— \ \ _ <br />APProved by' .. � � � �..._. <br />Date Approved . , p <br />