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n <br />APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br />everc <br />� <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersipned � '" �, i�� � - � <br />HerebY applies for permissirn to _-� . <br />At the following I <br />SI.ETCH <br />(Work to be done) <br />� � � % i <br />- — -' �� . ._. <br />' �' ��. <br />. . � -� !:�'-.' . . � <br />� <br />C; <br />;\ <br />DRIVEWAY SECTION <br />NO SCALE <br />�" —_—__ _--� <br />yl" LIP � <br />�30+— __._�3� <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 />Inspector's Signaturc <br />s-- �,�.- �y <br />at� <br />Remaiks <br />_l. _L r, I' .� <br />� <br />.1_ � :���_ <br />PEflMITNO. � " <br />; i •/� <br />�. , <br />The unde�sinned owner hereby agrees to hold and <br />save harmless the Ciry of Everett from any and all <br />claims for damages that may arise because of installa� <br />tion and maintenance ot the improvement hereto <br />applied for and further ac�rees to removr. same upon <br />notice trom the City and to replace public property <br />damaged thereby, <br />SignaWrc of Applicant <br />Address <br />.�..�` , <br />Telephone Number <br />Date <br />Fee <br />Dept. Approvals <br />Water <br />Communications <br />Apprc•�ed by <br />