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APPLICATION �OR RIGHT-OF-WAY USE PERMIT <br />cvcrrll <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned � '� � <br />Herehy applies tor permission to � <br />At the following location__ <br />SKETCH <br />(Work to be done) <br />,,� s � <br />. sb:.. , c: ` . . <br />i, . <br />r ti` <br />DRIVEWAY SECTION <br />NO SCALE <br />{ �__'_— � <br />I <br />� �1•� LIP - � <br />I 30"�. . '_'.____ <br />�3� <br />� C�`PY Or. IIiIS AI'PLICt",7'�O�J TO <br />I [;E POSTED ON JOBSITC-. <br />It.ALI ENGINEERING DEPT. 259�8811 <br />24 HOURS BEFORE CONSTFUCTION <br />�. -- <br />-D;« . <br />,� � �� -� �� <br />—r���r,;��ks <br />11194 <br />Q ��� . r e� <br />5 <br />'� INSPECTf.R'� COPY <br />PERMIT NO. <br />f <br />The undersigned owner hereby a9rces to hold and <br />save harmless the City ot Everett from any and all <br />claims for dama9es that may arise because of installa� <br />tion and maintenance of the impwvement hercto <br />applied for and further agrees to remove same upon <br />notice from the Cily and to repiace public property <br />damayed thereby. ,_ . _ . � <br />Signawrc of Applicant J <br />i� C-c.l'''�U�r.�C� �.A7V <br />Address �_.�, q��. <br />Telephone Number ' <br />�.�. .9:�0�� ic,"tf�. <br />Date <br />Dept. Approvals <br />�,. <br />A�proved by � � :� �. -- <br />+'C.'!' i ;�rl��� <br />D;nr A�.�novrd � <br />