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everett <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � - -. .._ ., � <br /> • CITY ENGINEE4S <br /> EVERETT.WASHINGTON PERMIT N0. <br /> The Undersigned <br /> Hereby applies for pertnission to <br /> At the following location <br /> SKETCH <br /> (Work to be done) <br /> DRI�'EWAY SECTION The undersigned owner hereby agrees to hold and <br /> {� NO SCALE save harmless[he City of Evere((from any and all <br /> I - � - - � claims for damages that may arise because ot installa� <br /> I" LIP tion and maintenance of the improvement hereto <br /> L30" 30" appli�d for and turther agrees to remove same upon <br /> r_—�-- �--�-----�"� notice from ihe City and to replace public property <br /> damaged thereby. <br /> Signa[ure oi App�icant -- <br /> COPY OF THIS APPLICATION TO � Address <br /> BE POSTED ON JOBSITE. <br /> CALL ENGINEERING DEPT. 259-8811 <br /> Teiephone Number <br /> I24 HOURS �EFORE CONSTRUCTICN Date — <br /> CHECK LIST Fee <br /> Warer vaive Dept. Approvals <br /> Drainaqe <br /> Curb& Guiter Engineers <br /> Sidewalk <br /> Water <br /> Sveet <br /> ----_--_ Communications <br /> Inspector's Signatum <br /> Tra(tic <br /> Planning <br /> �ate -------------- <br /> Remarks <br /> Approved by <br /> Date Approved Q <br />