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161 <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10361 <br />PERMIT NO. <br />The Undersigned — <br />Hereby applies for permission to G0.1/ S i / -"a �'�'>' G i^ .%�'% l'� __ %'✓ ^`� <br />At the following location 4 9i 1 C/Cn/ A ✓EA XJF2- <br />(Work to be <br />1 c: <br />/I0 <br />1' <br />i <br />Z <br />i �Ij <br />I � <br />101,y44A <br />DRIVEWAY SECTION �^t <br />NO SCALE 7' <br />f~ /5 - _ dr' I b <br />fI" LIP <br />30.. <br />D11 T �i <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-B811 <br />.24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valvr 46 Drainage r1 n <br />Cwb & Guner <br />Sidewalk <br />Inspector s Signature <br />c ' 7 <br />ate / t <br />Remarks <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 pubyc property <br />D77 4;, <br />Note: Original to Customer <br />1 Copy to File 10361 <br />1 Copy to Inspector <br />�1 h <br />Date Approved <br />