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� � • everen <br />�e <br />CITY ENGINEERS <br />j EVERETT,WASHINGTON <br />The Undersigned - <br />Hereby applies tor permission to <br />APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br />PERMIT <br />� �.335 <br />At the following locatiun - . � <br />SKETCH �"f � 7 <br />IWork to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />�— ------ —�{ <br />I" LIP <br />{-�°��--� --- - ---i-30--� <br />COPY OF THIS APPIICATIOfJ TO � <br />6E POSTED ON JOE3SITE. <br />CALL ENGINEERING DEPT. 259�8677 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Sig�ature <br />Remarks <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everatt from any and all <br />claims for damages that may arise because of installa� <br />tion and maintenance of the improvement hereto <br />�Npiied for and furtlier agrees to remove same upon <br />notice from the Ciry and to replace public property <br />� damaged. thereby. <br />Signature of Applicant <br />/� . �i jJ ( f;: � .! � . . <br />Address <br />, .. � .. "' O � .c�`��,� <br />Teiephone Number . , � � .:- � <br />Date - <br />Dept. Approvals <br />Street_ _ <br />Communications <br />Approved by <br />Date Approved � <br />i' 1 <br />