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W <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned <br />Hereby applies fe <br />APPLICATION FOR RIGHT -OF WAY USE PERMIT <br />At the following location I AD 7 iO Z S 7' S. F ,_ <br />SKETCH <br />(Work to be done) <br />ziFT• <br />(MIN1 <br />6ZND5T, S,E, - <br />DRIVEWAY SECTION <br />NO SCAL, <br />II ** II 1" LIP IJ 7 <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT, 2598811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />PERMITNO.-��J - <br />EXI STI► (; <br />GA iZAG C— <br />I ca s� <br />ED%=�F <br />PAV'7' <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 prgperty <br />uase �J /J./ /'/ s°P-) 14A <br />kCree qq�, �� - Id <br />D Ak" Dept. Approvals !� <br />Street <br />i` Communicatiog <br />Inspecto�re <br />Traffic <br />Pionning <br />ate <br />Remarks <br />Note: Original to Customer <br />1 Copy to File 10081 <br />1 Copy to Inspector Approved <br />Date Approved <br />