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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />CITY ENGINEERS <br />EVERETT,WASHINGTON PERM IT NO. _ <br />The Undersigned B1 u t A u�- <br />Hereby applies for permission to S�Ti �r s ��✓ /: J r'P� +'. ' / r, <br />k urn <br />At the following location 't '/l <br />SKETCH <br />(Work to be done) <br />s�t <br />DRIVEWAY SECTION <br />N0 SCALE <br />1 <br />I" LIP <br />C0�Y 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 />Inspector's Signalule <br />—DSR — <br />Ramarks -- <br />Note: Original in Customer <br />1 Copy its rd.- <br />Copy to lwj- , 1.11 <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 />9Z SV <br />Fee <br />Dept ApRr als <br />Engineers-2a, <br />Water <br />Street <br />Communications <br />Traffic <br />tL,i. Al p,..... I <br />