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everefl <br />� <br />CITY EPIGMEERS <br />EVERETT, WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At the following <br />(Work to be done� <br />APPLICA'fION �OR RIGHT-OF-WAY USE PERMIT <br />DRWEWAY SECTION <br />NO SCALE <br />Rr- -- --- - -� <br />I \ +I" LIP <br />i�3�•1� - - _— __--_— _ . . __ I 3Q.i <br />T <br />COf Y O� THIS APPLIi:A-i IOfa i�0 <br />I B[ POSTFD ON J06SITE. <br />(:ALL ENGINEERING DEPT. 259�8811 I <br />24 I-IOURS BFFORE CONSTRUCTIGN� <br />�___ <br />CHECK LIST <br />Water Va�ve <br />Draina9e <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature — <br />ba(c -- <br />Rcntaiks ��--- - <br />PERMIT <br />The undersi�ned owner hereby a9rees to hold and <br />save harmless the Ciry of Everett from any and all <br />claims for damages that may arise because ot installa� <br />tion and maintenance of tlie improvement hereto <br />applied tor and turther a9rees to remove same upon <br />notice from the Ciry and to replace public properry <br />damaged ihereby, <br />Signature of Applicant <br />Telephone Number <br />Date <br />Fee -- <br />Dept. Approvals <br />Enyineers_ <br />Street <br />Communications <br />�PProved by <br />Ddic Ap�irovrd <br />