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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />('verPll <br />CfrY ENGINEERS <br />EVERET-I, WiSHINGT�+ON �� t <br />The Undersigned- <br />.1. <br />Herchy applies for permission to —� ^ /11==7_t;1J-C--7—�- <br />At the following location <br />(Work to be done) n (� <br />DRIVEWAY SECTION <br />NO SCALE —� <br />r <br />r 1' LIP <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT.25g•BB11 <br />24 HOURS BEFORE CONSTRUCTION <br />CFIECK LIST _ <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks W <br />Note: Original to Customer <br />1 Copy to File .� <br />PERMITNO.� �fr' 'L <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 ifpc,and further agrees to remove same upon <br />anti-e Trom the Citv,and 10 raglare public property <br />F V -2 <br />Telephone Number <br />�?_ 7 — <br />Date <br />Fee <br />Dept. Appprrrovals <br />Engineers— <br />VJater�------- <br />Communications <br />Planning.—__ ----- -- <br />