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APPLICATION FOIi EIGHT -OF -WAY USE PERMIT <br />"` r�r`�" L"11033 <br />M <br />:ITY ENGINEERS 77 <br />EVERETT, WASHINGTON PERMIT N0. <br />the Undersigned A/r t./�_-� A e-le4 <br />4ercby applies for permissiun to <br />:t the following Iocation�B�S=�—LL • 'n'(Q6r <br />Work to be done) <br />!� 7;0 l�l sT/rG� <br />DRIVEWAY SECTION <br />NO SCALE <br />UP <br />:OPY OF THIS APPLICATION TO <br />3E POSTED ON JOBSITE. <br />:ALL ENGINEERING DEPT. 259.8811 <br />!4 HOURS BEFORE CONSTRUCTION <br />:HECK LIST <br />Pater Valve <br />Jrainaoe <br />:urb & Gutter <br />iidewalk <br />nspector's Signature <br />late <br />;emarks <br />lote: Original to Customer <br />1 Copy to File 11033 <br />1 Copy to Inspector <br />S54 gT7'i4CK�p <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for da ages that may arise because of installa. <br />tion and main enance of the improvement hereto <br />applied for a; d further agrees to re ove me upon <br />notice frojt re City and to repl Zut�property <br />Dept. Approvals <br />Street <br />Communications <br />Planning <br />Approved by <br />