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rl �•il <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned <br />Hereby applies fog <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />s <br />At the following location �i `1 / O 's O.r I t <br />(Work to be done) <br />SBE <br />Cot�t7h�-7� <br />DRIVEWAY SECTION <br />NO SCALE <br />30 30,. <br />COPY OF THIS APPLICATION TO <br />6E P)STED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259.6811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECKLIST <br />Water Valve <br />Drainaqe <br />Curb & Gutter <br />Sidewalk <br />b tor's Signature <br />M <br />q�ib' III ✓lp1.11 hl 1�n11OII I1•I <br />1 Cul.y L. I d <br />1 IJ.p; to In ,..., t <br />PERIAIT NO. :! 2 l <br />The undersigned owner hereby ;agrees to ho:d and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of instal;:• <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same uonn <br />notice from the City and to replace public property <br />Address r' <br />3J�J'�,Ql oo <br />.-' <br />Dept. Approvals <br />Engineers <br />_ <br />Watef <br />Street <br />P <br />Communications <br />Traffic <br />Planning <br />Alq,,-w d by <br />Date APpluvcd <br />n <br />