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' everett <br />e <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned <br />Hereby applies for permission lo <br />At the following location <br />SKETCH <br />(Work to be done) <br />APPLICAiION FOR RIGHT•OF-�VAY USE PERMIT <br />� ���� <br />A <br />/ <br />I <br />DRIVEWAY SECTION <br />NO SCALE <br />� 2�/ � <br />I" LIP <br />i30''� (—__._ __. _.-�30� <br />COPY OF i�HIS APPLICATION TO I <br />BE POSTED UN J06SI iE. <br />CALL ENGWEEHING D[PT.259�6R11 <br />24 HOURS B[FORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewaik <br />Inspector's Signature <br />�ate <br />PERMIT <br />u,� 1 c , <br />The undersigned owner hereby agrees to hold and <br />save harr,Jess the City o( Everett trom any and all <br />claims tor damages that may arise because ot installa� <br />tion and maintenance ot 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 />Addrnss <br />Telephone Number � <br />Uept. Approvals <br />r� <br />Communications _ <br />Approved by <br />Da[c Approved � <br />