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Icverett <br />� <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />The Undersigned <br />Hereby applies for pertnis�ion to <br />At the following <br />SKETCH <br />'�� •i�• to be donc) <br />APPLICATION FOR RIGHT•OF-WI�Y USE PERMIT <br />DRIVEWAY SECTION <br />NO SCALE <br />r-- -- - � <br />� \ +��� I IP � <br />I <br />L 30'� __ __ I 3� <br />i- -.�• <br />� COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />-------- -------- ----- <br />Inspector's Si9n, ture <br />_ -___.._—__-___ <br />JlC _-- .. -- —_" — <br />.- __ __._.__. .____ <br />(�CII1dI�S ... � �� �� � � �� ... <br />7��J <br />PERMIT NO. <br />The undcrigned owner hereby ayrces to hold and <br />save harmless the Ciry of Everett (rom any and all <br />claims tnr damages that may arise be,cause of installa� <br />tion and maintenance ot the improvement hereto <br />applicd for and further ac�rees to remove same upon <br />notice from the Crty �nd to repluce public property <br />damaged thereby. <br />Signaturc of Applicant <br />Telephone Number � <br />Dept. Approvals <br />Cemmwiications <br />Traftic <br />/lpproved by <br />Dam Approved <br />� <br />