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!ve►en <br />e <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersipned <br />Hereby applies for permission to <br />APPLICATION FOR RI(iHt-0F•WAV USE PERMIT 112 9 6 <br />PERMITNO. �G"����% <br />At the followinp locetion (�' /i ! �q7 N (' f. I' ,C. <br />(Work to be done) <br />----..._ .. �. <br />� <br />,���;i+ ����{. <br />DRIVEWAY SECTION <br />NO SCALE <br />{._--- ----.....� <br />I <br />I" LIP <br />�`���-- ------�-- - ---+���� <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�8611 <br />24 HOURS BEFORE CONSTRUCTION <br />Remerks <br />11296 <br />INSPf.CTOft'S CDPT <br />S/ctiJ <br />The undersipned owner hereby agroes to hald and <br />seve harmless tha City of Everett from any end ell <br />claims tor damege� thet mey arife bec�use of Inctelle� <br />tion end meintenance of the Improvement hereto <br />applied lor and further eprees to romove �nne upon <br />notice from the Ciry a�d to ieplece public property <br />damped themby. <br />iBnatmn o pp �cent <br />Addrett <br />_ �i:a��< <br />Telephone umber <br />Fee <br />Dspt. Approvalt <br />Enpineers <br />Commun�cetion� <br />Tnf}ic <br />Plsnning <br />APProvedby ,i, i_�� ', 1.' J� <br />� �i i <br />Date Approved I Y <br />')'_ <br />