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everett <br />�. � <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />The Undersiyned <br />Hereby applies for permission to <br />At the following <br />(Work to be done) <br />RPPLICATION FOR RIGHT-OF-WAY USE PERMIT 11230 <br />DRIVEWAY SECTION <br />NO SCALE _� <br />� <br />+1�� LIP <br />30" _�30 I <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBS�TE. <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 />11230 <br />PERMIT N0. <br />The undersigned owner hereby agrees to hold and <br />save harm�ess the City of Everett from any and all <br />claims for damages that may arise because of �ns[alla� <br />[ion and main[enance 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 />damagrd thereby. - . <br />Signature of Applicant <br />Address . � � � � � <br />Telephone Number <br />Dept. Approvals <br />Communications <br />Approved by <br />Date Approved <br />INSPECTOR'S COPY <br />