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APPLICATION FOR RIGHT-OF-WAY USE PER611T <br />evcrt•tl 10662 <br />e <br />CITY ENGINEFRS <br />EVERETT, WASHINGTON PERMIT N0. <br />The Undersigned <br />Hereby applies for permission to - <br />At the following location - 1,. <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />I" LIP <br />�30'�. _ _ <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />Date— <br />Remarks <br />Note: Original to Customer <br />I Copy to Fria 1 (1 2 <br />1 Copy to Inspector <br />1 ►. 1 <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 froTAe City aqd to replace public property <br />1 4 - t b <br />Date <br />Fee <br />Dept. Approvals <br />i <br />Engineers '�.1. <br />Water l_ti&wc n♦Aet_-r.s,a %JI'tj-1:1 <br />Street <br />Communications <br />Traffic <br />Approved by <br />Date Approved <br />