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s everefl <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />11183 <br />PERMIT NO. 7 8 ` 9 <br />The Undersigned <br />Hereby applies for permission to_! l.. — 'A' , w _ : h'r „ � SW,,a . i. ; <br />At the followlno location <br />(Work to be done) <br />I <br />L..._ .._._�... —._ <br />r <br />DRIVEWAY SECTION <br />NO SCALE <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <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 />ofic <br />Inspoc s gneture <br />Cow AQQ — "12 d <br />ate <br />11183 <br />INSPECTOR'S COPY <br />I <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 />tion 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 />ree- , r . <br />Dept. Approvals <br />I ...N i --r 1. <br />Engineers -"i11, I ti-I i I I I! rt I i <br />Water <br />Street <br />Communications <br />Approved by Iy <br />Date Approved I (` ! r <br />a <br />