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evereft <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned .4 ' . _ , <br />Herrby applies for permission to __ <br />APPLICATION FOR RIGHT-OF-WAY USE PERMI• <br />At the following location 2 7- 1 r); rc !- p ' ra <br />SKETCH <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />�I" LIPLIP <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />I <br />ECK LISTer Valveinb dr Gutter <br />Sidewalk <br />Inspector's Signature <br />ate <br />Rumerk� — <br />Note: Original to Customer <br />1 Copy to File 10870 <br />1 Copy to Inspector <br />10870 <br />PERMIT NO. ,'2--/; (. <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 />tion and mei//////ttenance of the improvemen hereto <br />applied fo�d further agrees tVrem��arri pon <br />notice fro the "V and to reKtAce r n n orr.. <br />Dept. Approvals <br />Engineers <br />Communications <br />Approved by <br />Date Aunroved <br />