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0 <br />CI � Y ENGINEERS <br />EVERETT,6Yq5HINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />PERMIT �J0.�3�7 <br />The Undersic�ned �_`'('� � (( � ( �.0 �� - -� <br />Her:by appties for permission to �. ( ; f %i �7 ? �" [' A <br />c� .-> 1=T !\�_nl I-1L�_��i.LJ <br />At [Fr, fnllowin� <br />�6Vork ro 6e done� <br />DRIVeWAY SECTION <br />{�_ NO SCALE <br />I --� <br />I" LIP <br />�..=�..1�.__.____ 30 I <br />� •'1 <br />COPY OF T=iISAPPLICATIOiV TO <br />6E POSTED 0:� JOE�SiT[. <br />' CALL EA!GINEERING DEPT.25&887 Ti <br />' 24 HOURS BEFCRE CONSTRUCTIOh� <br />`--- <br />CHECK LIS � <br />Wntar Valvz <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspec[or s Signature <br />Remarks <br />11253 <br />� <br />The undersic�ned owner hereby agrees to hold and <br />save harmless :he City of Everett from any and all <br />claims for damz;e< that may arise because of installa• <br />tion and maintenance of the improvem?nt heie�o <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public praperty <br />a...,..,..,.� "--... _ <br />o—r <br />Date <br />r �'� <br />Dept. Approvals <br />Street_ __ <br />Communication_ <br />Approved by <br />CUS?O`13R Date AppfoVed <br />9 <br />