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everetl <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At the following <br />(Work to be donel <br />APPLICATION FOR RIGHT-OF-WAY USE FERhiIT <br />DRNEWAY SECTION <br />NO SCALE <br />�'-- _ . — --- ---- -� <br />I" LIP <br />i 30" � � ' 30" � <br />� T_. _ "_—___ ____.y. —'i <br />COPY U1=ll-IIS ��,Pi'I_Ii:Allr�!��; i0 <br />(3E PCSTED OPJ JG3SITE. � <br />CALL ENGINEERING DEPT. 259�0�11 I <br />24 HOI:RS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />� Sidewalk <br />Inspector's SiynaWic <br />_—__.____. ___._. __— -__ <br />Datc <br />-. _ _— .__—._ .. .—_— __—__ <br />Remark; <br />PER1o11T MO. <br />l hc under=ignud otvnen c�ie6y a�rr,es to hold and <br />save harmless the City of Evere[t from any and ,:II <br />claims for dama9es that may arise because uf installa� <br />tion and mainrenance of the improvement nereto <br />applied for and further a9rees to remove same upon <br />notice from the City and ro replace public property <br />damaged thereby. <br />Signature of Applicant <br />Telephone Number . <br />Fee <br />Approved by <br />Datn Appioved <br />Dept. Approvals <br />n <br />