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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />evcrctt 10970 <br />e . <br />CITY ENGINEERS 7712,tlo <br />EVERETT, WASHINGTON PERMIT NO. <br />The Undetsigned %Art_ i-I F l `Ho P <br />r � <br />Hereby applies for permission toE-x,sTitrG D/v✓ Af%/c'>><_ `—ftiLf��'+✓s' rFl� <br />-� i. <br />rtL Q$/a' Tit !"derv' >' fr LNk E,<,ss-..0 /1�rTjA � AI'�X'oi <br />At the following location - ✓ 1 i 13 e,-, Sr — <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />SCALE <br />II ��o\ t I LIP <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 { 1 N <br />Water Valve Lvc� <br />DrainageffjY <br />Curb & —Gutter <br />Sidewalk <br />Inspector's Signature <br />ate <br />5�E to 77ACN; v <br />Remarks <br />Note: Original to Customer q ^n <br />1Copy toFile A0970 <br />1 Copy to Inspector <br />%iI <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 lot and further agrees to remove same upon <br />notice from the City and to replace public property <br />Feuer ;-- <br />Dept. App als <br />Engineers <br />Communications <br />Approved by <br />Date Approved <br />