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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />cvcrctl <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned /1 % r —_-- � <br />Hereby applies for permission to <br />At the following <br />V <br />PERMIT NO..Ze/%�W— <br />(Work to be done) <br />R oPRa v�4 s uB�� c ?- C PRo� <br />--:Ui9iV T reY <br />�GGC' h'iD <br />-/l Vi'111 C qA! T AW -5 7- <br />P[A &L/C k/G//7 C' IF- j-4!,W / <br />R�r c t <br />DRIVEWAY SECTION <br />NO SCALE <br />!II (I" LIP <br />COPY OF THIS APPLICATION TO /Vt <br />BE POSTED ON JOBSITE, <br />CALL ENGINEERING DEPT.259 8811 / <br />24 HOURS BFFORE CONSTRUCTION 4/ <br />CHECK LI'-T <br />Water Valk <br />Drainage <br />Curb fL Grjrtcr <br />SidevreI <br />InspecIat's Signature ` <br />Romarks � E.1�_y_ <br />�t S <br />The un/aintenance <br />wrier hereby agrees to hold and <br />v save haity of Everett from any and all <br />claims that may arise because of instal la- <br />,.\,{f, tion an of the improvement hereto <br />O appli for and further agrees to remove same upon <br />Qi no ce from the City and to replace public property <br />maged theraby. / <br />V <br />Signature of Applicant <br />Address <br />i ' �' 7 <br />N Telephone urnber <br />7 <br />Dale <br />Dept. Approvals <br />Engineers <br />Communications <br />PI <br />Approved by <br />CUltK1MSR Data <br />