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evrrrll <br />CITY ENGINEERS <br />EVERET"l•WASHINGTON <br />Tho Undersigned <br />Hereby applies for permission to <br />APPLICATION FOri RIGHT-OF-WAY USE PERMIT <br />r is r <br />108cr <br />PERNI-r NO. :2 - <br />r <br />At the following location V& i <br />(Work to be done) <br />Puo <br />DRIVEWAY SECTION <br />NO SCALE <br />I" LIP <br />1 30"1 1 130" I <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 269BB11 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage - <br />Cud) & GutterI <br />Sid;walk <br />Inspector's `:hpurtu i ti <br />- Dine - -- — <br />11em;u 1. s --"--- • - <br />Nee•: <br />M. <br />G -,-3 _77 <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 ipt,and further agrees to remove same upon <br />no�;clfro!n the Cityrand to rol?56e public property <br />11 <br />IclephoneNumber u <br />ee, .= <br />DateFee <br />X <br />Dept. Approvals <br />Engineers --— <br />Water_..-..------ -- <br />Si t ccr --- ------- — <br />Communications <br />Tt of f ic___ <br />Pl:uvting .---'- <br />