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APPLICATION FOR RIGHT-OF-VrAV USE PERMIT 11224 <br />W <br />' <br />CITY ENGINEERS <br />EVERETT, WASHINGTON PERMIT NO <br />The Undersigned - i <br />Hereby applies It permission to <br />At the following location <br />(Work to be done( <br />l <br />j I �I <br />GAN <br />t <br />Co <br />i <br />P� IV L �� <br />gytX 5T% <br />DRIVEWAY SECTION L / 'The undersigned owner hereby agrees to hold and <br />NO SCALE -1 p1 "TA i L. save harmless the City of Everett from any and all <br />---'-� 1 a to 'y claims for damages that may arise because of Installs- <br />11" LIP GUL.JE t; T tion and maintenance of the improvement hereto <br />30' ?_4! applied for and further agrees to remove same upon <br />13.—-------�.� notice from the City and to replace public property <br />damaged thereby. <br />Signature of App icent <br />COPY OF THIS APPLICATION TO Address <br />BE POSTED ON JOBSITE. ' <br />CALL ENGINEERING DEPT. 259 8811 Telephone Number <br />24 HOURS BEFORE CONSTRUCTION Date' <br />CHECK LIST Fee -- <br />Water Valve Dept Approvals <br />Drainage <br />Curb & Gutter Engineers___... <br />�) <br />S� <br />Remark <br />0 <br />CIC <br />INSPECTOR'S COPY <br />Communications <br />Plann <br />Approved by <br />Date Approved 9 <br />■ <br />