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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />�"� � �10��9i <br />����y <br />CITY ENGINEERS �//p <br />EVERETT, WASHINGTON PERMIT NO.T��r/ <br />The Undenigned --�ig/Y%/.= S �. �L`. /���/N,S _ <br />Hereby applies for pertnission to _ .0 �C T/= N !J ,E X / _C % /N � � Z � �n /`�C Iz� �- <br />f�//�L-" ��. c. �/ i= �z T T ��c T�- nt /) T, ,,S t� vTi�/ /'�.Pt�f'i .Cii✓E <br />At the following location_ �'� Z�/ �C "� � c��= \F=� <br />SKETCH <br />(Work to be done) <br />P/. <br />P�vcment <br />.,/Y' � � <br />� 20' <br />.I <br />� <br />N <br />3 II ' <br />�J I <br />� : <br />Q <br />0 <br />tl n <br />�. __ <br />`ll I _ <br />DRIVEWAY SECTION <br />NO SCALE <br />� � � <br />I�� LIP <br />30'�_ _ � _ 30" <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEEFING DEPT. 259-8811 <br />24 HOURS BEFORE CONSTRUCl"ION <br />I <br />(.. <br />�'/c <br />ate ' C . . <br />., <br />�' -��tlS.� <br />Remarks <br />Note: Original to Customer <br />, �°PY �° F�'E 10491 <br />1 Copy to Inspector <br />No JCGIP <br />�/-''.� L/b/7G <br />(�����r:t <br />The undersigned owner hereby agrees to hold and <br />save harmless the Ci[y of Everett from any and all <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvemen[ hereto <br />applied for and further agrees to remove same upon <br />notice from the Ciry and to replace public property <br />dama thereby. �� <br />S� <br />�ig 4 ,bf Applicant ��7 � <br />�—Z� � `=�NJ� GJ. <br />Address <br />e3.� 3 S3Grr <br />Teleplione Num6er <br />.�—�'�- �G <br />Date <br />�� �C� _ <br />Fee <br />e p r als �// <br />Engineer <br />Wa[er �� � _ <br />Street ��` I <br />Communicaiio ' — <br />Traffic "-�" � "�-F �.- � t`� .�. <br />Planni� � lP <br />Sewto%�—' /�.C. S � <br />. , <br />�.i�,/' �, <br />Date Approved <br />