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everefl <br />� <br />CITY ENGINEERS <br />EVERETT, WASHINGTOIV <br />The Undersigned _ <br />Hereby applies for �iermission m <br />At the following location <br />APPLICATION FUR RIGHT-OF-VJA`! USE PERMIT � � �' <br />PERMIT N0. <br />� ,; x � :- n��� N ,-���c't-..�.t._. � <br />SKETCH ' ` �' <br />IWork to be done) � � � � � -- � � ���� - <br />/ <br />� <br />�� � � <br />�� <br />� <br />DRIVEWAY SECTION <br />NO SCALE <br />---..__ _...� <br />r� +i„ua � <br />Ir30'� . .l.,j��.l <br />I COPY OF THIS APPLICATION TO �� <br />iBE POSTED ON JOBSITE. <br />CALL ENGINEERING OEPT. 259�8811 <br />li ^d ifOURS FiEFOR� CONSTRUCTION <br />CHECK LIST <br />Water Valvs <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />-- -- ---------- <br />Inspector's Signawrc <br />-a��� - - -- <br />--__ __- -- - <br />Remarks <br />The undersigned uwner 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 />ticn and meintenance of the improvement hereto <br />applied for and further agrees to remove sa^.ie upon <br />notice trom the City and ro replace public property <br />damaged thereby. <br />Signature of Applicant <br />Address <br />Telephone Number <br />Date <br />Fee <br />Engi <br />Dept. Approvals <br />Ccmrt unications <br />r: <br />Approved by <br />Dale Approved <br />:1 <br />