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everetl <br />, � <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At the following location_ <br />(Work to be done) <br />�� <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT 112 2� <br />PERMITNO.. _ <br />DRIVEWAY SECTION <br />NO SCALE <br />� -� <br />(I" LIP � <br />� 30" �— --i� � <br />COPY OF THIS APPLICATIO�� TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�8811 <br />24 HOURS BEFORE CONSTRUCTION <br />:_122� <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and ali <br />claims for dama9es that may arise because of installa- <br />tion and maintenance of the imHrovement hereto <br />apptied for and furtiier agrees to remove same upon <br />notice from the City and to replace public property <br />damaged thereby. � <br />Signature of Applicant <br />� � � if:'�; _� <br />Address , _ , _ <br />Telephone Number <br />Dept. Approvals <br />Water <br />Street <br />Communications <br />Traffic <br />Planning <br />ri <br />