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APPLIC"TION FOR RIGHT-W- NAY USE PERMIT 19943 <br /> evrrctl i <br /> 7 <br /> CITY ENGINEERS <br /> PERMIT N0. <br /> EVERETT,WASHINGTON <br /> The Undersigned_ -) " '` ' <br /> Hereby applies for Permission to - —� <br /> At the following location__--�— _ <br /> SKETCH <br /> (Wort: to be done) .1, :,> I <br /> I <br /> I <br /> I <br /> The undersigned owner hereby agrees to hold and <br /> DRIVEWAY SECTION save harmless the City of Everett from any and all <br /> {._.�NO SCALE _ claims for damages dial may arise because of installa- <br /> tion and maintenance of the improvement hereto <br /> I" LIF applied for and further agrees to remove same upon <br /> 30"� n <br /> deticefromth y ity a d to r�lace publi property <br /> Sign re f A ant y <br /> 0 <br /> Address <br /> S - Ga <br /> COPY OF THIS APPLICATION TO Telephone Number <br /> BE POSTED UN JOBSI TE. / 7 <br /> CALL ENGINEERING DcPT.259.8811 <br /> L <br /> 24 HOURS BEFORE CON_ STRUCTION ` <br /> Fee i <br /> FSldlk <br /> pept.Ap fOV81S!'�����Engineersr �U114n !t•-°' Water <br /> / Street --'-- <br /> Communications <br /> Traffic <br /> Inspector's Signature Planning <br /> —L`atn <br /> Remarks <br /> Note: Original to Customer <br /> 1 COPY to File 10943 Approved by <br /> 1 Copy to Inspector <br /> Date APPrOvcd <br />