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everelt <br />e <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersign.d <br />Hereby applies for permission to <br />At the following Ic <br />SKETCH <br />�Work to be done) <br />I I <br />� <br />j ��� I <br />I r �� � <br />; <br />U <br />� > <br />� <br />i <br />t <br />1_I f <br />I� <br />qppLICATION FOR RIGHT-OF-WAY USE PERMIT ��548 <br />a <br />� <br />-� <br />�� <br />� <br />DRIVEWAY SECTION <br />NO SCALE � <br />�� j'I� LIP, � <br />�. <br />I 30'� _ �_.___— —. _ _.�.30 .�, <br />r <br />_ _ ___. <br />�I�COPY OP THIS APi'LIC�\TION TO <br />I k3G POSTED GN JOCiSITE. '�� <br />', CALL ENGINEERING DEPT. 259�881 i'I <br />�� 7-: f-i0UN5 CIFFORI- COf9STRLCl14M1' � <br />� �ate � ` <br />Remarks <br />Note: Original to Customcr r� <br />�� CopY to File �� j�. �1 <br />i Copy to Inspeetor <br />fil <br />,_ _�;�� <br />�c !' .,._;_�;�----':J. <br />_�. <br />PERMIT N0. � �- � � � <br />� <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims (or damages that may arise because of installa� <br />tion and maintenance of the impwvement hereto <br />applied for and turther agrees to remove same upon <br />notice irom the Ciry and to replace public properry <br />damaged thereby. � <br />Signature of Appiicant <br />Telephone Number <br />Dept. Approvals <br />Communications — <br />Traffic <br />Planning ' ' � �� — � � l. <br />.�� � . , � �- � "i <br />Approved 6y <br />Date Approved <br />