304 91ST PL SE 2018-01-02 MF Import

0APPLICATION FOR RIGHT-OF-WAY USE PERMIT V 11111 CITY ENGINEERS EVERETT,WASHINGTON PERMITNO. 7f — Z The Undersigned h t //r a 1.) Hereby applies for permission to Cp „ r y Al the following location "; O Q 4 / 7 (Work to be done) DRIVEWAY SECTION NO SCALE_ 1I LIP r OF THIS APPLICATION TO OSTED ON JOBSITE. ENGINEERING DEPT. 259 8811OURS BEFORE CONSTRUCTION CHECK LIST Water Valve Drainage Curb & Gutter Sidewalk 01 Ilk Insp TorTSignature RIL -79 ate Remarks The undersigned owner hereby agrees to hold and save harmless the City of Everett from any and all claims for damages that may arise because of installa- tion and maintenance of the Improvement hereto applied for and further Agrees to remove same upon notice from the City and to replace public property damaged thereby. ignatu3` re of Appncant i Address , Telephone Number i Date Dept. Approvals Street Communications _ Traffic Planning Approved by ;rt Date Approved