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et-0 APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11111 <br />r <br />CITY ENGINEERS PERMIT NO � ' Z <br />EVERETT,WASHINGTON <br />The Undersigned �AaI i��Sa in ✓r - _-_— <br />Hereby applies for permission to _ n .. ej e' e_e'y a eO- <br />Cisxv. <br />At the following <br />SKETCH <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />t F LIP <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259•BB11 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drelnage <br />urb &Gutter <br />$idewelk <br />Inspector's Signature --- <br />Remarks <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages hat may arise because of instt <br />lion and mainten ce of the rise <br />re ant oh <br />applied for and e as tove <br />ucp�ernotice from ih <br />damaged ther ' <br />Dept. Approval$ <br />Communications <br />Traffic <br />Approved by <br />euarolmalt Date Approved <br />