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everett ' <br />�e <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />-L!1 /4 <br />PERMIT NO. 7C� Y `.J <br />At the following location _ 7' O r ' S 3 P -? (r r t-tj <br />(Work to be done) 9 <br />53 x" 5 <br />DRIVEWAY SECTION <br />NO SCALE <br />I" LIP <br />I 30" _ 30" <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb &Gutter <br />Sidewalk <br />, 11174 <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 property <br />damaged thereby. <br />Signature of Applicant <br />Address <br />Telephone Number <br />Date � <br />Dept. Approvals <br />Street__ <br />Communications <br />Approved by <br />INSPECTOR'S COPY Date Approved <br />