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ev�ren <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10922 <br />PERMIT NO. <br />The Undersigned &1"[;t ,««?h07 Irrmv✓ <br />Hereby applies for permission to I * A':�Yl'_I C'� .�1;7� '� :Sr.aZ— tit A� -4 1:' / i^�sw/ <br />s— <br />At the following location si ;•.'.,'it <br />SKETCH <br />(Work to be done) <br />r <br />DRIVEWAY SECTION <br />NO SCALE <br />_ _fit" LIP I <br />jICOPY OF THIS APPLICATION TO <br />I BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 25P 8811 <br />44 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Rcmarks— <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 />lion and maintenance of the improvement hereto <br />applied for a5dfurther ages to remove same upon <br />notice fro he Ci replad property <br />mage arebv <br />% Y �s, ^ <br />ure licant <br />�'x <br />A dres <br />Telephone Numbed 2 / ,7 7 <br />Date <br />Dept. Approvals <br />Engineers <br />Street <br />Communications <br />Not,-: Diinm,d it, r:m.p unrr <br />Ic' ' 1.1.1. 1 nn,)n <br />r_, <br />