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APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11183 <br />A^`Fr everett <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned t'�AA/K <br />Hereby applies for permission to <br />At the following location !T _ 4 =T <br />SKETCH <br />(Work to be done( <br />N4vk isv' le <br />p Prev tlt.-s 4*e <br />VY y-1 <br />DRIVEWAY SECTION <br />NO SCALE <br />1 <br />jr LIP <br />_-_ _I-32"_l <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 25MBI1 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />mate <br />Remarks 11183 <br />PERMITNO. 78- Q*,,� <br />U <br />4- <br />G <br />S <br />C <br />�J s <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 installa- <br />tiun and maintenance 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 />3 3 <br />Fee Nd F <br />Dept. Approvals <br />Engineers <br />Communications <br />Approved by <br />Cu3TOM[R nate Anntnrxt 13 <br />