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..4•pf� -• _ 1 <br />y y f <br />� Y <br />. li." 4.�'. ��j <br />i � ' I <br />`�' ,r' ' � <br />di�JE'v�^'. -;.I <br />everetl <br />.- ' <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At the following location <br />(Work to be done) <br />APPLICATION FOR RIGHT-OF•WAY USE PFRMIT <br />DRIVEWAY SECTION <br />NO SCALE <br />� � <br />I'� LIP <br />I'30�"Y-------- - �"Y�� <br />f COPY OF THIS APPLICATION TO � <br />I BE POSTED ON JOBSITE. <br />' CALI_ ENGW[ERING DEPT. 259�8911 <br />24 HOURS �EFORE CONSTRUCTION� <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Siynature <br />Remarks <br />PERMIT NO. <br />F`"cCPC'� En <br />t��V� <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims tor damages that may arise because of in,talla� <br />tion and maintenance of [he impruvement hereto <br />applied 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 />Address <br />Telephone Number <br />Date <br />Fee 3O� p� <br />Dept. Approvals <br />Communications <br />7 <br />Approved by <br />Dam Appioved <br />