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I evereft <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned i / 1— 1 <br />Hereby applies for permission to <br />At the following k <br />SKETCH <br />(Work to be done) <br />APPLICATION FOR RIGHT -OF WAY USE PERMIT 10747 <br />DRIVEWAY SECTION <br />NO SCALE <br />IL 11" LIP �I <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON J08SITE <br />CALL ENGINEERING DEPT. 258 88111 <br />24 HOURS BEFORE CONSTRUCTIONI <br />Date— 7 <br />Remarks <br />Note: Original to Customer <br />1 Copy to File 3.0747 <br />1 Copy to Inspector <br />PERMITNO. 1 <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 fat and further agrees to remove some upon <br />notice front the City and to replace public property <br />damaged thereby. <br />ignature of Applicant <br />Address <br />Telepho a umber - <br />�f <br />Date <br />Fee <br />Dept. Approvals <br />Engineers__ — <br />Water "y ' <br />Street,l <br />Communications <br />Approved by <br />Date Approved <br />• <br />c <br />