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Lj <br />CITY ENGINEERS <br />EVERETT, WAS14INGTON <br />The Undersigned <br />Hereby applies for permission to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10285 <br />PERMIT NO, 25�_ <br />At the following location — 1 , <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />C COPY OF THIS APPLIATION TO <br />BE POSTED ON JOBS]TE. <br />CALL ENGINEERING DEPi2598811 <br />24 HOURS BEFORE CONSTRUCTIONI <br />1 L1 _ <S <br />Date <br />Remarks <br />Note: Original w Customer i Copy to F Ue 10285 <br />1 Copy to Inspector <br />Dlu(l. L•' I LOO 01 <br />>�- 11 - 75 <br />4(, <br />C <br />NEI,/ c lJ�jC <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notirpe-freshthe City and to%eplace public property <br />J .L �� <br />14 O L-- -7 <br />A rest <br />Telephone Number <br />Date <br />Fee <br />Date Approved <br />