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�r, <br />. cvt•n�ll <br />� �� <br />CITY [NGI��f_ERS <br />EVERETf. WASHINGTON <br />e.-�__„ . <br />APPI_ICATION FOR RIGHT�OF�VJAI' US[ Pf_RNIT <br />10987 <br />� <br />'"� �i <br />PERMIT N0. � � / -� <br />(Work to bc done) <br />S SE /iTr/1 c/�/-�O <br />DRIVEWAY SECTION <br />, NO SCALE <br />M-- � <br />� I•• LIP � <br />JO" _____�— 1 30" I <br />—.T ^1 <br />COPY QF 'fHIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS fiEFOR[ CONSTRUCTION <br />LIST <br />Inspector's Si9nawre . <br />flemarks <br />Note: Original to Customer <br />, �°,'Y'° F�'° 10 9 8 7 <br />1 copy ca �o:p�ctar <br />The uncfersipned owner hereby agrecs to hold and <br />savc harmlr.ss the City of Everett irom any and all <br />elaimt for damages that may arise beeause ot instaila� <br />tion and maintcnance ol the improvernent hereto <br />applied for and tunher agrces to remove same upon <br />notice from tlie City and to replacr. public property <br />damaged thereby. � <br />—U:��.;;�� -� -, �j � S1 <br />Sipnaturc of ApplicantT <br />Address <br />Tclephone Number <br />Date <br />Fe��. ��- <br />Dept. A provals <br />� ' +'' ' <br />Engineers S L+��� r <br />0 <br />Communications <br />Pl�nning <br />P,pproved by <br />�ate l�pprovrd <br />