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W <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At the 'allowing location_ <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />LIP <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks <br />PERMIT <br />11187 <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 />damaged thereby, <br />Signature of Applicant <br />Telephone Number <br />Dept. Approvals <br />Communications <br />Plann <br />Approved by <br />Date Approved -- <br />