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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />ev2re'Y �-- <br />- 10898 <br />CITY ENGINEERS G <br />EVERETT, WASHINGTON PERMIT NO. �2—// 7 <br />The Undersigned W,J,,Iz c- _ <br />Hereby applies for permission to. La,(sy,^ocr A /7ri �,v,"-te;� %I/vim .:-•. r_:i;✓ [-'.,oJ = r� <br />At the following location ?,V x �- o i c r .t ,t J-k< £ rJ'26 <br />(Work to be done) <br />DRIVEVOY SECTION <br />NO SCALE <br />------------ <br />f I" LIP <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 258.3811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECKLIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Note: Original to Customer <br />1Copy toFile 1.0898 <br />1 Copy to Inspector <br />SC% 14'77-o4CNG1;' <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 for and further agrees to remove same upon <br />notice from the City and to replace public property <br />77 <br />Date yQ a� n <br />�/ <br />Fee �^ <br />Dept. Approvals <br />Engineers [n <br />Water <br />Street <br />Communirations <br />Plai <br />Approved by <br />Date Approved <br />