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Ll <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned <br />Hereby applies fo <br />At the following location <br />SKETCH <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />ILIP <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 />Note: Original to Customer <br />1 Copy to Fite <br />1 Copy to Inspector <br />1 h <br />PERMIT NO. �2!— iyZ <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 foy and further agrees to remove same upon <br />notice -from the City and to replace public property <br />dam I7q d'thereby. <br />--mature A Icapt <br />Address <br />Telephone Number <br />Date? <br />Fee <br />Dept. Approvals <br />Communications <br />PI <br />Approved by <br />Date Approved <br />