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E <br />CITY FNGINEERS <br />EVEREIT, WASHINGTON <br />APPLICATION FOR RICIIT-OF WAY USE PERMIT <br />11CO2 <br />PERMIT NO.—L�'__1r( <br />The Undersigned <br />Hereby applies for permission to _S,_.s,Qf�/�� ,� .__/J '�_2-..��._.._.L.:;►r:f 11�L.r _ _! ����•' <br />At the following location <br />- SKETCH — --- <br />(Work to be done) n <br />OK i <br />DRIVEWAY SECTION <br />NO SCALE <br />P' LIP II <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 269.8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LI <br />Water bl;IS <br />ST <br />e <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />ero <br />Remarks --- -- <br />Vote: Original to Customer <br />1 Copy to File 11002 <br />I Copy to Inspector <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 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 />damaged therapy <br />Applr�n — - <br />Adcheps <br />Data <br />Dept.%( provale <br />Engineers <br />Communications_ — <br />Trnffic—_ <br />Planning_ `_ <br />Approved by <br />