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APPLICATION .=OR RIGHT-OF-WAY USE PERMIT <br />everett <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At the following <br />SKETCH <br />(Work to be done) <br />DRIVEWAY SECTION <br />1� NO SCALES <br />l il1 LIP / I <br />30, 1 30" <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 Signature <br />Remarks <br />PERA'll NO. _-- ----.-- <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 />damaged thereby. <br />Signature of Applicant <br />Address <br />Telephone Number <br />Date <br />Dept. Approvals <br />Communications <br />Planning <br />Approved by <br />FILE C:OFti <br />Date Approved a <br />