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evcretl <br />�e <br />CITY ENGINEERS <br />EVERETT. WASHINGTON <br />The Undersigned fr Il\ � <br />Hereby applies for permission to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10291 <br />161 <br />PERIVITNO. 7`5/V <br />At the following location 31901 UJ L -V U ICI t, (y V . <br />_ LUT 1 2 <br />SKETCH <br />(Work to be dune) c DUc` OF EX IS T IAt9 RDon <br />MI >01.1— <br />EX13TINC CURB, <br />SJ Dif <br />DRIVEWAY SECTION <br />NO SCALE <br />30"J <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT, 259-8911 <br />24 HOURS BEFORE CONSTRUCTIONI <br />�MUIN BY <br />0 U M. <br />9-2G-75 <br />-bate <br />R £.5. <br />3G01 <br />CAR <br />POfiT <br />The undersigned ovmer 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 agrees to remove same upon <br />notice fro the City and to replace public property <br />Te \aged [l�e\�Y- <br />Signature of Applicant <br />Address <br />Telephone Number <br />Date <br />Fee <br />Remarks <br />Note: Original to Customer <br />I Copy tc. rile 10 91 <br />i Copy to Inspector APPr <br />Date Approved <br />