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everett <br />� <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Underzi9ned _ <br />Hereby applies for permi•sion to <br />At the followi�g <br />(Work to be done) <br />APPLI�ATION FOR RIGHT-OF-WAY USE PERMIT <br />_� <br />-�� c. � I,�. p.# 8'd o. <br />DRIVEWAY SECTI04 <br />NO SCALE <br />�— — —� <br />� I" LIP � <br />I'30�--_ —_ __— ____ _�_�3_0'"f <br />-- --1 <br />COPY OF THIS APPLICATION TO � <br />B[ POSTED ON J06SITE. <br />� CALL ENGINEERING DEPT. 259�8811 <br />24 40URS 6EFORE CONSTRUCTION <br />CHECK UST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks <br />PERMIT N0. <br />�• <br />The und.:rn9ned owner hereby agrees tn hold and <br />save harmless the City of Everett irom any and all <br />claims for damages that may ariie because of installa� <br />tiun and maintenance ot the improvement here[o <br />applied tor and further agrees to remove same upon <br />notice from the City and to replace public properry <br />damaged lhereby. <br />Signature of Applicant <br />Telephone Number <br />Dept. Approvals <br />Communications <br />Approved by <br />Date Approved <br />