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eiereti <br />CIT/ ENGINEERS <br />EVEF°TT.WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />The Undersigned /f ��� ,G F_ '�-c_ <br />Hereby applies -or permission to <br />At the lollowinC ocation <br />(Work to be done) <br />— STA+VzTakJ�-Y.MUT <br />DRIVEWAY SECTION <br />NO SCALE <br />1 30" + 301, 1.. <br />COPY Of THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT.259.8811 <br />24 HOURS BEFORE CONSTRUCTION <br />1.1207 <br />11207 <br />PERMITNO. 7 P — / <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett firm, any and all <br />claims for damages that may arise hecause of installa- <br />tion and maintenance ct thr improvement hereto <br />applied for and further agrens to remove same upon <br />notice from the C,.y Itnd to roplace public property <br />dam er // <br />:d <br />I nature of Applicant <br />1/. /lax <br />d ,ess <br />L <br />Telephone Number <br />oat_--- <br />_ S <br />tee ---- <br />Dept. Approvals <br />Engineers <br />Street <br />Communications <br />I.ISPECTOR'S COPY <br />Approved by <br />t, <br />Date Approved .y 0 <br />