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everett <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At [he tollowing <br />(Work to be donel <br />�� 1�1aLK <br />APPLICATION FOR RIGHT•OF•WAY USE PERMIT <br />n.' t ;''. <br />Tp�LrE. <Ji �.,i <br />r,�yE�> <br />F lZ lJ %l t�" <br />.���� � ,. <br />DRIVEWAY SECTION <br />NO SCALE <br />r---- -- ----- --� <br />;i" ua <br />I 30'�_ ___ . . <br />I 30"� <br />Y'— <br />� COPY OF THIS APPLICATION TG <br />IBE POSTED ON JOBSITE. <br />CALL EIdGIN[ERING DEPT. 259�8811 <br />24 HOURS BEfORE CONSTRUCTION <br />CHECK LIST <br />water vatve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />I nspector's S igna W re <br />Remarks <br />PERMIT <br />�-i��—�, <br />-�- - c. ( � <br />. . � . -- .—��r_J--� <br />-Ci ^�i:''/ r <br />lr�I 7o tir � <br />Z�;.0 µI.-{ L N✓ i <br />The undersigned owner hereby agrees to bold and <br />save harmless the City ot Evere[t from any and all <br />claims for damages that inay arise because of installa� <br />tion and maintenance of the improvement hereto <br />app�ied for and further agrees to remove same upon <br />notice from the City and to replace public properry <br />damaged thereby. <br />Signature of Applicant <br />Telephone Number <br />Commun <br />Apuroved by <br />Date Approved <br />Dept. Approvals <br />