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W <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned /V U.T I <br />Hereby applies for permission to <br />AI N EXPD SAD 4 <br />At the following location_ <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10222 <br />0 <br />PERMITNO. S 10 <br />LD TS 1- G <br />SKETCH <br />(Work to be done) <br />L 33 R D. S T Iz- <br />LANDSCAP1Nl --, /— S' C©NC .S/UJ(exIsr,) <br />EXIST. DMA <br />- <br />s,�� T r' <br />\ NEW ONC. D/W <br />.-UPOSED ACCR. CONC.S/u <br />� I � 3311 <br />rT) I f 1 w <br />40 }' <br />DRIVEWAY :1 CTION <br />NO SCALE <br />s�11" LIP <br />30" I f 30" <br />Orp/4�W3aer-olen <br />COPY OF THIS APPLICATION TO DWN. BY LM <br />BE POSTED ON JOBSITE. ro/2O/ 75 <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />451 6 <br />a —/q 7 & <br />Remarks <br />Note: Original to Customer q <br />1 Copy to File .10222 <br />i Copy to Inspector <br />I <br />kt <br />17Re bndersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applied for and further agree to remove same upon <br />notice from the Cit nd f ace public { rgU-rty <br />damaged thereby. A Adll n IF <br />LOtV <br />Date A proved <br />M <br />