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everert APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />_.._ <br />CITY ENGINEERS <br />EVERETT, WASHINGTON PERMIT NO. <br />The Undersigned <br />Hereby applies for permission to <br />At the following location - <br />SKETCH <br />(Work to be done) ---- -- <br />r <br />�a-�IeCJi o DRIVEWAY SECTION Qs��f The undersigned owner hereby agrees to hold and <br />NO SCALE fo <br />� f10 tN 5.1� � save harmless the City of Everett from any and all � <br />4C"'t claims for damages that may arise because of installs, <br />►I" LIP %j firm and maintenance of the improvement hereto \ <br />ai olied for and further agrees to remove some upon J <br />notice from the City and to replace public property <br />di malted thereby. <br />Si, mature of Applicant _ <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 <br />Water Valve <br />Drainage <br />Cwb d Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks <br />11192 <br />Telephone Number _ <br />Liete <br />Dept. Approvals <br />Communications <br />Approved by <br />I«[ cold Date Approved <br />