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• r�e.en <br />e <br />CITV ENGINEEFS <br />EVERETT.WASHINGTON <br />Thr. Undersigned _ <br />Hereby applies for permission to <br />At the tollowing <br />(Work �o be donc) <br />APPLICATION fOR RIGHT•Of-INAY USE PERMIT <br />�RR'EWAY SECTION <br />NO SCALE <br />r_-- - -- - -� <br />� 1 �,� �IP � <br />�JO'�. � .- �30"� <br />COPV OF iH15 nPPLICATION 70 <br />BE POSTED ON JOBSITE. <br />� CALL ENGWEFRING DEPT. 75&9R11 <br />I 7M1 HOUflS �EFORE CONSTRUCTION <br />Remarks <br />����_, <br />—_��`G <br />PERMIT NO. <br />The undcrsiyned owner hereby agrees to hold anJ <br />save harmless ihe City oi Everett froin any and all <br />claims tor damages that may arise because of installa� <br />tion and mainrenance of the improvement hereto <br />applied lor and further agrees to remove same upon <br />notice from the City and to replace public properry <br />damageH ihereby. <br />Signature ot Applicant <br />Address <br />Telephone Ni <br />Oate <br />Dept. Approvals <br />Streer <br />Cammunicetions <br />Approved by <br />�N°,Pf i.loi2's c0��� Oale ApP�ovn1 <br />Y <br />