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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />evcren <br />.. � <br />CITY ENGINEEflS <br />EVERETT,WASHINGTON <br />The Undersigned � <br />Hereby appiies for permission to <br />At the following location <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />� � <br />+I'� LIP � <br />30" ` _�_30" <br />COPY OF THIS APPLlCATION TO <br />BE POSTED ON JOBS�TE. <br />CALL ENGINEERING DEPT. 253�8811 <br />24 90URS BEFORE CONSTRUCTION <br />CHi=CK LIST <br />Water Valve <br />Drainage <br />11.230 <br />PERMIT N0. <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 instaila- <br />[ion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace pu6lic properry <br />damaged thereby. . . � <br />Signature of Applicant <br />Address <br />Telephone Number <br />Date <br />Dept. Approvals <br />Water <br />Communications_ <br />