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-- <br />everefl <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned J n7 <br />Hereby applies for permission to <br />At the following location`— <br />SKETCH <br />(Work to be done) <br />APPLICATION FOR RIGHT -OF WAY USE PERMIT <br />DRIVEWAY SECTION <br />NO SCALE <br />I \ 1r LIP <br />11 ��o•II T' � ao� <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT.250.8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />At &Gutter <br />Sidewalk <br />Inspector's 6ignatun <br />vita ' <br />Remarks' —'— <br />Nod: Original to Customer <br />1 Copy to File 007 <br />1 Copy to Inspedw, <br />11007 <br />PERMITNO. -7 _Z!J_ <br />T, <br />S'Gf /-77�4074C 0 <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 becouta of installs <br />lion 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 />damn a thereby. <br />I noiura App'Caill <br />Addrjjs <br />Date <br />Dept �d prova <br />Engineers_.9D 71.70 <br />Wate. <br />Street _,_., .. <br />Communications <br />Traffic --. <br />Planning <br />Approved by <br />