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everett <br />e <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />The Undersigned -� � �' <br />Hereby applies for permission to <br />APPLICA710N FOR RIGH7-OF-WAY USE PERMIT <br />�.5� ��5���� <br />Atthefollowinaloca�ion 57.3 .S(�//Ti� SECI`N� AVF <br />SKETCH <br />(Work to be done) <br />� �� !O� <br />C i <br />ORIVEWAY SECTION <br />NO SCALE <br />f'- -_ _` Z5 � - � <br />I" LIP__� <br />L30�__.. _ _.�_/1 / �30" I <br />i �� '1 <br />, COPY OF THIS APPLICATION TO <br />�� f3[ POSTED ON JOBSITE. <br />C�1LL Fff�J�JFFRING OEPT. 259�8611 <br />:4 HOURS GLI i7RL= CONSTFUCTION <br />, � �_ - i C_=- - <br />�� - <br />Remarks <br />5'�MIN.� <br />5 731 <br />1021� <br />PERMIT NO. ��_ I� O <br />zU' SEYYER <br />F�SEMENT i . <br />NEI�J ASPNAL T D�W <br />-GDGE OF EXI ST/NG <br />PQ vEr►ENT <br />� r • <br />�+;1 <br />� <br />NO SG/-1 LF_ <br />The undersigned owner hereby agrees to hold and <br />save harmless the Ciry oi Evrrett from any and all <br />claims for dama9es that may crise because oi installa� <br />tion and maintenance of ihe improvement hereto <br />applied for and further agrees to remnve same upon <br />notice.from the Cijy m5d o r place public proper y <br />daryi�eg�rd thereb,yi ��O _ � � . <br />. 1 i __ r.. <br />uate ) �� '7� /�C/`� �//%`%i/ <br />r-�� � �_ , <br />[J�p . A provals <br />� � <br />Engin^.crs �" ��/ ��-'d�'�"�� �� � I -�b <br />Water.f� �Q e�yi �-E�, • _ _ �, <br />Street --f <br />Communications^-/� � �'r _ (�, . �6- 7.a' <br />Traftic l� �?� <br />Planning . /�'� / � . r)— <br />Note: Original m Custome- <br />` .F � cjfy <br />t coi�y m��i� 1(l,? 1 <br />1 Copy to Inspr,c;or A���J%_ '�..• �%�F7l,I+�LC.�C �-Z �-��j <br />Date Appi�oveJ' / <br />