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� � . �, � <br />j cveretl <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT 111 O$ <br />PERMITNO.�G,'Z % <br />The Undersigned /V 0 r 1 h c(�c�r- � i, �c�oYS Co ro <br />Heicl>yapplicsforpermissionto_ ConS/ract c 2t' �_.__ n/. i-•, � . <br />At the following <br />(Work to be donc) <br />DRIVEWAV SECTION <br />NO SCALE <br />�- - — zs' --� <br />I LIP __' <br />���.1.__ -.. _.._ ____�1'30�i <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 2598871 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK UST <br />Waror Valve <br />Drainage <br />Curb & Gutter <br />$idewalk � <br />Inspector i Signature <br />11108 <br />The undersigned owner hereby agrees to hold and <br />save harm�ess the City of Everett from any and all <br />claims fur damages that may arise because of installa- <br />tion and maintenance ot Ihe improvement here[o <br />applied tor and turiher agrees to remove same upon <br />notir.e from thn City and ta replace public property <br />dama h reby. <br />�yv �' %iI�- 7'1�T.y`' <br />Si ure ot Applicant <br />�y_'z'Ly i� r" Aa ' �—. <br />Address <br />�� 3 —.�7 <br />Telephone Number <br />Date / �.� Jg — <br />.��.,�.' <br />Dept. Approvals <br />Commun <br />Appraved by <br />CUS7'OIR11 Date Approved Y <br />