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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />cvcrclt <br />CITY ENGINEERS <br />EVERETT. WASHI <br />The Undersigned 4NAT <br />Hereby applies for permission to <br />At the following location So• 4-T' `—JCL` <br />(Work to be done) <br />,91Z r .i!FWA Y 7-0 &4yPC- <br />C--)� ,-7i1 u4W ENT <br />DRIVEWAY SECTION <br />NO SSC LE <br />f r' LIP <br />30'• �30" <br />COPY OF THIS APPLICATION TO 1 <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-88111 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECKLIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />68MA <br />Inspector's Signature <br />hatei _-7c� <br />Remarks <br />Note: Original to Customer <br />I Copy to File 10029 <br />1 Copy to Inspector <br />.,�.r7 <br />I <br />I <br />7;/ <br />7U <br />43� . <br />A029 <br />PERMIT NO. 74 — 14 <br />The undersigned owner hereby agrees to hold and <br />:ave 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 replKe public property <br />2- - 3Z4Z- <br />1 rerepnone "Tur <br />L 1 Date-5 _�� <br />PR Y-9-79 <br />Fee <br />�G <br />Dept. Approvals <br />Approved 6y y <br />Date Approved <br />