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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />cverMt <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned ROA!fe?'� XU PG <br />Hereby applies for permission to 6,9 r/STFZJoT V! % D e <br />At the following location 3S7 2- OA VlFf- <br />TCH <br />k to be done) <br />11144 <br />PERMIT NO. < a S-2• <br />4n <br />I � <br />a:�,r <br />I` <br />,� .c- �B• QED �. q./ <br />�Fif 100 <br />- <br />f tN - Exls <br />6 <br />DRIVEWAY SECTION <br />NO SCAL� <br />I II I" LIP <br />COPY OF THIS APPLICATION TO <br />RE POSTED CN J03SITE. <br />j CALL ENGINEERING DEPT. 259-8811 <br />124 HOURS BEFORE CONSTRUCTION <br />CHECKLIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks 11144 <br />e I,S <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 />Sire of Applicantt � <br />Dept. Approvals <br />Communications <br />Approved by <br />CUSTOMER Date Approved a <br />