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. APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> .09411 9411 <br /> nrrrcfl, <br /> CITYENG'NEERS PERMIT NO. 07712_2a_ <br /> EVERETT. <br /> 77 _EVERETT•WASHINGTON <br /> The Undersigned <br /> Hereby applies for permission to_r nnv �.v m^T A l7r �o�• "if 'L/��-- <br /> At the following location O -7 <br /> SKETCH <br /> (Work to be done) <br /> SEC A-rTACHEo <br /> f°J GorJltrr�i�-l/ <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the City of Everett from any and all <br /> _ claims for damages that may arise because of installs. t <br /> _ tion and maintenance of the improvement hereto r <br /> LIPapplied for and further agrees to remove same upon <br /> 301. notice from he City and to r^plaFe ublic property <br /> datf, g� ereby. <br /> s <br /> gJ a ure et lice-' <br /> A dress <br /> COPY OF THIS APPLICATION TO <br /> BE POSTED ON JOBSITE. Telephone Nym �, 7 <br /> CALL ENGINEERING DEPT.2588811 1, — — <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK L1ST Fee D <br /> Water Valve �Dept. Appr�ovals <br /> Oralnagc Engincers�laJ' — <br /> Curb&Gutter Water -- <br /> Sidewalk <br /> Street <br /> Communications — <br /> Inspector's Signature Traffic — <br /> Planning — <br /> Date — <br /> Remarks <br /> Note: Original In Cmirtmer q <br /> 1 Copy to File 10(1 J 11, •1 Approved by <br /> 1 Copy to InspeClor <br /> Date APl+roved <br />