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APPLICATION FOR RIGHT -OF WAY USE PERMIT <br />everelt <br />CITY ENGINEERS <br />EVERETT. WASHINGTON <br />The Undersigned _ <br />Hereby applies for permission to <br />At the following location - o v 14, <br />SKETCH <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />11" LIP <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 2598811 <br />24 HOURS BEFORE CONSTRUCTION <br />10842 <br />PERMIT NO. <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett iron any and all <br />claims for damages that may arise ber.ause of Installa- <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />noticgitom City nd to/ ra ace pu%II property <br />fla�maged� reby. fl /' i _ . <br />Sign i of pl' ant <br />AddAss <br />;t /95"/ ��✓iiYlf <br />r/ sl',;zG 7 — <br />Telephone Num 2 /7 7 <br />Date <br />Dept. Approvals <br />l^ Engineers <br />Water <br />�,(,,�� ♦��� Street <br />0// 7� / Co munications <br />Inspector's Signature 7 raffic <br />—Date <br />Remarks <br />Note: Original to Customer /� <br />1 Copy to File 1 n j y <br />1 Copy to Inspector <br />Planning <br />Approved by <br />Date Approved <br />