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everen <br />e <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />The Undersigned _ 5 ' �% '�% e,:' <br />Hereby applies for permission to <br />At the following location/ C% �`-r 17 <br />SKETCH <br />!Work to be dunel <br />r, <br />Lie <br />V <br />— sEvV"�K ; ✓-v<� <br />DRIVEWAY SECTION <br />NO SCALE <br />11" LIP <br />yi.30'� <br />QOPY Of THIS APPLICATION 10 <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 2!+9 Nr<t I <br />24 HOURS BEFORE CONSI"Rlli, r: <br />—6+te <br />"Remar�s <br />Note: Original to Customer <br />f Copy to File <br />f Copy tc Inspector <br />1 <br />-9 <br />460-1 <br />1.0420 <br />' <br />PERMIT NO _ <br />y rt /1{ -- E ,<t, : r et <br />The under ned owner hereby agrees to hold and <br />save harm) s 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 />dame re <br />SA tura o Ap cent <br />// Address <br />0, <br />Telephone Number <br />Date <br />Fee s <br />pt. propals <br />Engineer / <br />Water tti-s%�.$. 9 <br />Street.„,___-_ <br />Communications <br />Traffic_. <br />Planning'� <br />user c. o A-� <br />1.0420 Approved <br />Date Approved <br />