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WAPPLICATION FOP RIGHT-OF-WAY OS!� PERAIT-10199CITY ENGINEERS �!� <br />EVERETT,WASHINGTON PERMITNO._./_7 —i J(� <br />The Undersigned --- <br />Hereby applies for permission to <br />At the following location <br />SKETCH <br />(Work to be done) <br />DRIVEWAY <br />NO Sra <br />I \ sl LIP <br />lam'-'-T--- 0--�{)-- <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 2598811 <br />24 HOURS BEFORE CONSTRUC1ION <br />Inspector's Signature <br />IMP <br />Rema•�s - <br />Note- Original to Customer i <br />1 Copy to File L 0 1. 9 9 <br />1 Copy to Inspector <br />A`-) v. � y <br />Ak�, <br />44°:i <br />—7; <br />No SciLL <br />.Xis r-Irle <br />uncle,signed owner hereby agrees to hold and <br />harmless the City of Everett from any and all <br />ns for damalles that may arise because of Install_ <br />and maintenance of the Improvement hereto <br />iod for and further agrees to remove same upon <br />notice from the City and to replace public property <br />damn est thereby. <br />&—(S I <br />Address <br />Telephone umber <br />uasa <br />wS-��tt7'7� C <br />Dept. Approvals I <br />%} <br />Erwinners lC �/ 4Z.*'t-eC C, .5//h <br />Communications <br />t — <br />APpro 6y <br />(XX•rt Co. Jam' ' 20 -,V <br />' DIA'Appra ` <br />