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{ <br /> � • everetl APPLICATION FOR RIC,HT-OF•WAY USE PERMIT � � � � q <br /> J ' ,�� <br /> . <br /> ' CITY ENGINEERS <br /> EVEflETT, WqSHINGTON PERMI'i N0. � <br /> The Undersigned_ � � <br /> Hereby applies for permission to � � �. <br /> At the foUowing location � � - - � <br /> >a� :i.i ��i =f -i <br /> SKETCH ����u � <br /> IWork to be d�ne) <br /> DRIVEWAY SECTiON The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the Citv of Everett from any and all � <br /> � — --� claims for damages •h;t may arise because of installa- � <br /> �_ �i^ �io tion and maintenance of the improvement hereto <br /> � applied for and further agrees to remove same upon <br /> ' �. <br /> 30'„�__ __ . ._._�,39� notice from the City and to replace public property <br /> damaged thereby. � �, . � <br /> Signature of Applicant . <br /> COPY OF T�IIS APFLICATION TO Address – . . — <br /> BE POSTED ON JOBSITE. Telephone Number <br /> CALL E�GINEERWG DEPT. 259-88� ', <br /> 24 HOURS BEFORE CONSTRUCTION� Date — ; <br /> CHECK LIST Fee — <br /> Water Valve Dept. Approv�l5 <br /> Dreinage <br /> _ Curb &Gutter Engineers__ <br /> Sidewalk Water <br /> Street <br /> ._ . __ Communications <br /> Inspector's Signature Treffic <br /> Planning <br /> at�e-- <br /> Remarks <br /> � i <br /> Approved by <br /> . Date Approved . 0 <br /> +... <br />