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� <br />" everen <br />. � <br />. CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The l:ndersigned � <br />Hereby app�ies for pennissi�n to <br />At the fo�lowing loc2[ion <br />(Work to be done) <br />APPLICATION POR RIGHT-OF-Wl�'f U.SE PERMIT <br />PERMIT <br />DRIVEWAV SECTION�. <br />NO SCALE <br />�--- � _.. —� <br />, ri" ua I <br />(�30�__ � ____ I 3C I.. . <br />i - --'1� -7 <br />�COPY OF THIS APPLICATION TO <br />EE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK IIST <br />Water Valve <br />Grainage <br />Curb R Gutter <br />Sidt:walk � <br />In;pector's Signature <br />Remarks <br />?. � <br />� 1200 <br />The underc�3ned owner hereby a�rees to hold and <br />save harmless the City of Everri; from any and all <br />;claims for damages that inay arise because of ins[alla� <br />�tion and maintenance of the in;provemen[ hereto <br />-��applied for and further agrees [o remove same upon <br />no[ice from �he,City and to replace public properry <br />damaged thereby. . <br />SiynaWre of Applicant � I . - <br />� � - -i,�. � - <br />Address - <br />Telephone Number � <br />Date <br />i <br />- Dept. Approvals <br />S[reet <br />Communications <br />Plann <br />ApPrwed by l �, <br />1 (,C <br />Uate Approved /_ - I S� Q � <br />V C� <br />+�. <br />