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evcrctl <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />11008 <br />PERMIT NO. <br />The Undersigned .0 &` <br />Hereby applies for permission to <br />At the following location <br />(Work to be done) <br />DRWEWAY 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 Installa. <br />1 f� LI� tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />12ly� -_ —.4: notice from the City and to replace public property <br />I' damaged ereby, , <br />/ & <br />ign ture oVAppflcant <br />COPY OF THIS APPLICATION TO Addle <br />BE POSTED ON JOBSITE. ie <br />Telephone Nfimber <br />CALL ENGINLtRING DEPT. 2598811 9 Z '% O `f92' <br />24 HOURS BEFORE CONSTRUCTION Date69 — <br />CHECK LIST Fee 0-1 — <br />Water Valve NO- A ova r <br />Drainage <br />Curb & Ginter Engineers —�` <br />Sidewalk Water_ <br />Street__ _- ..— <br />Communications <br />Inspector's Signature Traffic _ _ <br />Planning____._. <br />Remarks <br />Note: Original to Customer _ <br />1 Copy to File 1.1008 Approved by <br />1 Copy to Inspector <br />Date Approved <br />