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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />cverclt _. <br />. 10508� <br />CITY ENGINEERS <br />EVERETT, WASHINGTON PERMIT NO. <br />The Undersigned 1-26 V f P M, '4 -Al <br />Xyo Y F. <br />Hereby applies for permission to �'' ' --"7 �"`-�"• �1 <br />At the following IocMion_ Z 8 2 4 ti 2 „ PL . 5 r . <br />(Work to be done) <br />r/4 <br />HLAGr <br />\ '72`� s <br />C <br />.y J oa� •• rr^}�� .. <br />i t <br />rot <br />A_,P <br />furb- <br />F-�zz• <br />r8a4 <br />No r..Iel <br />DRIVEWAY SECTION <br />NO SCALE <br />7 LIP <br />__....30 I <br />472:1 <br />COPY OF THIS APPLICATION T0-------- <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 />Inspector's Signature <br />—Date <br />SC w cv, <br />Remarks <br />Note: Original k� Customer n <br />1 Copy to File U 5 0 8 <br />1 Copy to Inspector <br />K <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 />ri>.• _ _ U <br />Fee <br />t. pp ov {s <br />Engineer. 6 <br />Water 1 A M< .�jLj7 <br />Approved byM ���� <br />s � <br />Date y <br />