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e�erett <br />�) <br />CITY ENGINEERS <br />EVERETT. WASHINGTON <br />The Undersigned _ <br />Hereby applies for permission to <br />At the following <br />(Work to be dane) <br />�� <br />• ✓'1: <br />l � <br />� / <br />_ �-3_ <br />IJar J L <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />i''_'----�-.�._. <br />_ _ .. ''__.�_�_.___"-'-_.' <br />�. .� . . <br />DRIVEWAY SECTION <br />NO SCALE <br />�--- --- - -�--� <br />� jl'� LIP � <br />L30�___. _._ . _ I 3J I <br />i - -�}• ^i <br />COPY OF THIS APPLICAT IOM TO <br />BE POSTED ON JOBS�TF. <br />CALL [NGINEERING DEPT. 259-£?811 <br />24 HOURS BEFORE CONSTRUCTIOiJ <br />CHECK LIST <br />Watnr Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signamre <br />PERMIT N0. <br />The undersigned owner hereby agrees to hold and <br />save harmless the City oi Everet[ f;am any and all <br />claims for damages that may arise because of installa� <br />tion and maintenance of [he improvement hereto <br />zpplied for and turther agrees to remove same, upon <br />notice from the Ciry and to replace public property <br />damaged thereby. <br />Signawre of Applicant <br />Telephone Number <br />Dept. Approvals <br />Communications <br />Approved by <br />Date Approved <br />� <br />