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� ewrett <br />� �� e <br />CITY ENGINEERS <br />EVERFTT, WASHINGTON <br />The Unde�sinned <br />Hereby anplies for permission to <br />At the follcwing <br />SKETCH <br />�Work m be done� <br />APPLICATION FOR R�GHT•OF-WAY USE PERMIT <br />DRIVEWAY SECTION <br />�_ __ — NO SCALE � <br />� � �i' LIP ��� <br />�3�+___ _____—___�„30 J <br />'� <br />COPY OF THIS APPLICATION TO I <br />BE POSTFU ON JOBSITE. I <br />CALL [IVGINEERING CEPT. 259�8811 � <br />P�: li�?UR; E3EFORE CONSTRUCTIONI <br />. .-�--- -- ---._ .. .____, <br />r — <br />� C!-�F^K LIST <br />Water Valve <br />Drainage <br />Curb & Gi�itr,r <br />Sidewalk <br />Inspector's Signature <br />PERMIT N0. <br />The undersigned owner hereby ugrees 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 ot the improvement hereto <br />applied for and further agrees ro remove same upon <br />notice from [he City and to replace pu6lic property <br />damaged thereby. <br />Signature of Applicant <br />Address <br />Telephone Number � <br />Dept. Approvals <br />Communiwtions � <br />Approved by <br />Datc Approved <br />3 <br />