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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />evrrs•11 <br />Q 10202 <br />CITY ENGINEERS <br />EVERETT,WASHINGTON PERMITNO. <br />The Undersigned 4614E S //✓�,' <br />Hereby applies for permission to _ nA/.S f ralt - f .4 25"_��i� <br />At the following location 70 3 , a <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />LIP <br />—7�I <br />-L 3l) <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT.259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />Remark <br />Note: Original to Customer <br />1 Copy to File <br />1 Copy to Inspector <br />Nc SGgLL <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 for and further agrees to remove same upon <br />notice from the City and to replace public property <br />Adam g thereby, <br />�wv Y . <br />Si a of i nt <br />� <br />✓r� Address' <br />Telephone Number��� <br />Date <br />Fee <br />Ap ovDls �991 <br />Engine _ <br />Water <br />1. 1, 9 0 2 APPr'Pd .r CC <br />D to Ap oved <br />i <br />