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cverclt <br />� <br />CITY ENGINEERS <br />[VERETT, WASIifNGTON <br />The 1)ndersigned <br />Hereby apPlies for permission to <br />At the follo�� <br />SKETCH <br />(Work [o bc �lunc) <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />GRIVtWAY SFCTION <br />NO SCALE <br />�"..__ _ . _ -_ ----.._ <br />�_ � i" LIP 1 <br />I 30'y, �30" I <br />i__ � .__._.... � - �, <br />I <br />C����'1' �.,� �!IIS:,.�!'IJ�,:�lllrl:�: i'� . <br />�� (;F POSTEp ON JOBSIl E. <br />, !:.qLL ENGWEERING DEPT. 259�8871 I <br />.?�1 �IOURS BEFOR[CONSTRUCTIOfJ <br />�CHECK LIST <br />Wator Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />�Ut .� f/.: c.,•�. <br />; � ��� � /�%� r � <br />//i 1 I �," c <br />PEr�MIT N0. <br />The undersigned o�vncr hercby agrees to hold and <br />save harmless the Ciry of Everet[ 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 />noGce `rom the City and to replare public property <br />damag�d thcreby. <br />Siynature of Applicant --- <br />Telephone Number — <br />APProved by <br />Date Approved <br />Dept. Approvals <br />9 <br />