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APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11316 <br />L <br />etl <br />y <br />CITY _.NGINEERS , <br />EVERETT, WASHINGTON PERMIT NO. <br />The Undersigned <br />Hereby app:;es for permission to - A�) <br />At the following location <br />SKETCH `5 <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />I" LIP <br />II 30" i _ -30 <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS 6FFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks <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 />Telephone Number <br />Fee <br />Dept. Approvals <br />Engineers_._ <br />Communications <br />Approved by <br />Date Approved <br />