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everett <br />� <br />CITY ENGINEERS <br />EVERETT, WASHINGTO�! <br />The Undersiyned �A ���� <br />Hereby applies for permission :o <br />APPLICATION FOR FtIGHT-OF-WAY USE PERMIT <br />At the following location 5C5- 49 � ST. S. �h�. <br />(Work ro be done) <br />10125 <br />PERMIT NO. �� `Z ` <br />NE�V f1SPNALT <br />D/?IVEWAY <br />� <br />5oS <br />� <br />� �, � Na SGr1� <br />DRIVEWAY SECTION <br />NO SCAIE <br />�+I" LIP � <br />30" __�30"J <br />-i <br />__ _. _ . _. _ _. _ . . .. . _ _, <br />COPI' OF Ti-IIS APPLICATION TC � <br />BE POS'i"ED GN JOBSITE. <br />CA!_L EP.GINEEkING CEPT.259�8£:71 � <br />�i a-; r�our,s �rr-or,�_ r:or�srRucnoni i <br />CHECY. LIST <br />a �� <br />/ / <br />��� 6 , <br />I nspector's Signatu <br />�?-�)- 1_l <br />Remarks <br />Note: Original to Customer e� <br />1 Copy to File 1 � �_ L� <br />i Copy to Inspector <br />I�i.������J/ �Ii���iii..� <br />�9jHST. S. W. <br />cOGE IJFEX/STING <br />l=�}VEMENT <br />The undersigned owner hereby agrees to hold and <br />save hamless the City of Evere[t from any and all <br />, claims for damages tn �t may arise because of installa- <br />�-� �=-�- tion and maintenance of the improvemen[ hereto <br />��plied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />. _._,.....,._ ........._. � S S - 1_�� _ <br />pltl/� / Date 1 y�y{�� /' ', <br />2 IZ�lJ Fee �.:.)U �/�C `S/7�7 ��7"I i <br />`r ' Dept. Approvals � <br />Engineers i F'`���4 �//I� <br />6Vater . �� � <br />c <br />Street f'�G( ", ., �, <br />Communications � `-� �-�^^ «-f � � <br />_i ;' <br />TraTfic �' � /3 � <br />,^ � <br />f'lanning-r. �� ��/ �� , lv.i � �%'��{l. <br />Apyroved by l % �. <br />CL��ii� J:.•%���..r,t. <br />Date A proved <br />_C•, ,�-�� -%� <br />