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a <br />f' <br />verelt <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned <br />Hereby applies fo <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />At the following location y9/0 SDuTN 2_1& .tT J, ,,"-. , j <br />(Work to be done) <br />Set: ATT/QD <br />DRIVEWAY SECTION <br />NO SCALE <br />fI" LIP <br />30" <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING VE°T. 259.8811 <br />24 HOURS BEFORE CON'TRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />S.dewalk <br />Inspector's Signature <br />Remarks 0 <br />Note: Original to Customer <br />1 Copy to File 10952 <br />1 Copy to Inspector <br />"0952 <br />PE11MIT NO._ 7/ 2 3 y <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 properly <br />dgnij ed tl rrZe & ' <br />�Xrb o0 <br />Dept. As <br />i <br />Engineers <br />Communications <br />Approved by <br />Date Approver' f <br />