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APPLICATION FOR RIGHT-OF-WAY USE PERMIT �0393 <br />� ��� <br />�r , <br />�,�.� <br />PERMIT N0. �' � � "� ' / <br />everett <br />.__ e <br />� CITY ENGINEERS <br />. EVERETT,WASHINGTON <br />The Undersigned � <br />Here6y applie; for permission to <br />�, ,:_�r< <br />At the following locaiion �'��'��� G� <br />SKETCH <br />(Work [o be done) <br />; <br />DRIVEWQY SECTION <br />�o scn��----- --� <br />�— G '•'� <br />r�_+f, UP � <br />I .,0"�I„__. _ —.— "_ _._.—.�30 <br />� <br />r= <br />�.;t iPY Of- TFIIS APPLICATIO(V i0 �� <br />',i:'. f'OSTED ON JOBSI fE �, <br />�..-�J1- F(�GI�!EERIr•1G DEPT. Z52£1i; i i <br />i�,��,�:. :;<<nF,�_:;orisrr��n.�����,��.; <br />� . ' � � <br />� v � � ' <br />/ <br />Notc: Ori9inaltoCustom�� �0393 <br />1 Copy to File <br />1 CopY ta inspector <br />` � . . , . . , ..r��: <br />� � ,,;,-�' J� � <br />(— ,LQ'f}SI—'�`/ALT F'Af/['�1ENT -- <br />� /�j� '� ;�:.t: �;V�� �✓fs4/s <br />- -��----�. �' " _ - <br />� <br />` CG�✓G, <br />� i — c.r: ;: ,.v +�:':,:c:r'.�%t <br />.G� <br />. ' 1 � <br />.. �� p • � �°�, p . <br />' �>.�i. � , .'��e� . _ d <br />V✓' <br />.. �F. Y.� _ .. <br />Z ..�1/ <br />L � :''' <br />y i£ <br />The undersi9ned owner hereby a9rees to hold and `� <br />save harmless the Ciry of Everett from any and all <br />\ <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applied for and further a9rees to remove same upon <br />noY Q�`iro�m the Cit and to replace public properry <br />da ag� theretby � <br />� <br />Signa! re of ApPlicant <br />y. i1������ ( n /''iY.v L'/T'•/ <br />Ad�lress �.� .� — � 7D'� � <br />Telephone Number <br />Date �1.,'� , ���� /'�� _� � — <br />�/'-/7� <br />. <br />Fee <br />Dept. A proval <br />� <br />Engineers <br />e <br />Water o` �'� <br />Street � �-u^� <br />Communica ions <br />/ <br />Traffic � ',�'��� `��� ' <br />/ � ' �, <br />Planning � ^/ � --f�/- ' <br />�P1v-eL'_F�—�--��n zo�— � .�• ? f.� <br />Approved by <br />��— .��c- ��� 3� z�- <br />Date A� {���roved <br />