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APPLICATIUN FOR RIGHT-OF-WAY USE PERMIT <br />' everet! <br />� <br />CITY ENGiNEERS <br />EVERETT, WASHINGTON <br />The Undersigned � <br />Hereby applies for permission to <br />At the f�llowing I <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />i � <br />I +i" i.ia- <br />30" _ ___ I 30�� <br />--�i' <br />COPY OF THIS APPLICATION TO <br />BE POSTED (�^1 JOBSii�e. <br />CALL ENGINEERING DEPT.259�8611 <br />24 HOURS BEFORE CONSTRUCTION <br />��� <br />.�1229 <br />11229 <br />PERMIT N0. <br />-- — f_ ; r -- <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damagr that may arise because of installa- <br />tion and maintena�ice of the improvement licreto <br />applied for and further agrees to remove same upon <br />notice trom the City and to replace public property <br />damaged thereby. _ - <br />Signature of Applicant <br />Address . , " , . � <br />Telephone Number <br />Dept. Approvals <br />Commun ications _ _ <br />Approved by <br />Date Approved <br />II':Si SCTOR'S COPY <br />