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. everett <br />, `"i <br />CITY ENGIN[ERS <br />EVERETT, WASHINGTO�' <br />The Undersigned _ <br />Hereby applies for pennission to <br />At the following <br />(Work to be done� <br />APPLICATION FOR RIGHT•OF•WAY' USE PERMIT <br />i��5s <br />DRIVEWAY SECTION <br />NO SCALE <br />I"-- — --� <br />+I�� LIP � <br />30'�_ _ _ _ _ _ I 30"� <br />i <br />CQPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CAIL ENGINEERlNG DEPT. 259�8871 <br />24 HOURS BE�ORE CONSTRUCTION <br />CHEf,K LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />�idewalk <br />Inspector's Siynature <br />' i-'i"-�/._i`t•;�c. ; _ . , <br />Remarks <br />� :L:135� <br />� .-�-�'`- _. <br />-, % <br />PERMITNO. ��'` ' <br />The undersigned ownen c�reby 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 agre�;s to rrmove same upon <br />no[ice from the City and to replace public property <br />damaged thereby. . -. - � <br />Signawre of Applicant � � � � <br />Telephone Number <br />Dept. Approvals <br />Communications <br />Plann <br />Approved 6y <br />ItJSPEC70R-S C01'1' �ate Approved <br />a <br />� <br />