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� everelt <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At Ihe following <br />(Work to be done) <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />�� � � <br />�'� <' << I v `, <br />DRWEWAY SELTION <br />NO $CA�E <br />r - -- <br />� \ 1(• LIP � <br />�3O'.1.. _. .. _. ._ _.1,30" ' <br />COPY OF TFIIS APPLICF�?ION �f0 �i <br />BE POSTED ON JO[�SITE. I <br />CALL ENGINEERING DEPT. 259�8I317'. <br />i <br />24 HOURS BEFORE CONSTRUCTION � <br />� ,� 7 � � � <br />ate <br />T � <br />Remarks <br />;� <br />PERMIT <br />--1��'— <br />�����•� ��.�� p��� �e-.�, c��v,� <br />Thc undersigned owner hereby agrees to hold and <br />save harmless ihe Ciry of Everett from any and all <br />claims fm damages Ihat may arise because of installa� <br />tion and maintenance of Ihe improvPmen[ hereto <br />applicd for and (uriher agrees to remove same upon <br />notice from the Ciry and to replace public property <br />damaged thereby. <br />Signeture of Applicant <br />Telephone Number <br />Date <br />Fee — <br />Dept. Approvals <br />Enginecrs <br />Water <br />SVeei <br />Communications <br />Tratfic <br />Plannino <br />Approved by <br />Date Approved <br />