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evcrctt <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned —10�,z <br />Hereby applies for permission to <br />At the following <br />SKETCH <br />IWork to be done) <br />DRIVEWAY SECTION <br />r NO SCALE— _— <br />��--- 1I LIP <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 260•8811 <br />24 HOURS 13EFORE CONSTRUCTION <br />C <br />W <br />ere <br />' <br />mT Metor'e Slgluturi "'---- <br />ate <br />Remarks — <br />Note: Original to Customer <br />IcopvtoFile 1003 <br />1 Copy to Inspect ir <br />APPLICATION FOR RIGHT•OF•WAV USf; PERMIT <br />11003 <br />PERMIT NO. T <br />The undersigned owner hereby agrees to hold and <br />lave harmless the Clty, Of Everett from 311y 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 some uslnn <br />notice from the City end to replace public property <br />dam thereby. <br />'ig leture I A - ice "f� STO-9---- <br />f' <br />Tetepii �� umiser <br />Dot--d�cf y9�_ — --• <br />� r <br />Fee 9i v. ------ <br />Uopt. Approvals <br />Street <br />Communications__—__._ ___------r <br />Traffic <br />Planning -- <br />Approved by <br />Date Anproved <br />