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���.<<, <br />� <br />CITY ENGINEEFS <br />EVERETT,WASHINGTON <br />Tlie Undersigned _ � <br />Hereby applies for permission to <br />At the following location <br />(Work to be donel <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />ORIVEWAY SECTION <br />NO SCALE <br />— __ _� <br />r— <br />`I�� lIP � <br />30� <br />�-'°�=I--- - - -----!-- <br />COPY Of- THI$ APPLICATION TO � I, <br />lif_ POSTED ON JOHSITE. � <br />;��,ALL LNGI�_'�.1=Rli! , DEPT. 250�8Ci11 <br />,�.� fii�ili;�_. P.il� Uf:C ;;OtS:`�RUCTI1�N <br />�+_LL[� <br />�atc <br />Remaiks <br />Nnlr Ong�nal to Customer <br />t Copy to Fde <br />1 Copy to InsPectoi <br />� �r i,w <br />� . <br />�_os3� <br />PERMIT NO <br />r <br />The undersigned owner here6y agrees to hold and <br />save harmless the City of Everett (rom any and all <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applicd br and turther ayrecs to remcvr, same upon <br />notice from the Ciry and to repiace public property <br />damage� thereby. <br />Signawrc o( Applicani � � <br />Address <br />Telephone Number <br />Dept. Approvals <br />Engineers_ — <br />Water <br />Streei <br />Ccmmunications <br />Tratfic <br />Planning i -- <br />Approved by <br />U:rt�• AI'P�ow�d __� � <br />