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ki <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10200 <br />PERMIT NO. 7--"9 <br />The Undersigned /Z ZZ S / /o-us -S <br />Hereby applies for permission to I :-nA/S r .Pu C f' 0 k/ <br />At the following location %Q 5 yes r /L __� �_ . 4 o % /-a <br />SKETCH <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />tr <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 2598811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb &Gutter <br />Sidewalk <br />Inspector's Signature <br />4 4 ( t I f <br />wv Ir <br />JfK <br />7%/3.7. <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for dama,tes that may arise because of installa- <br />tion 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 />damage ,thereby. <br />Sig t o p� is t <br />Telephone Numb <br />Date <br />Fee <br />uase <br />Remarks <br />Nm Original to Customer <br />I Copy to File 10200 <br />I Copy to Inspector Appr d b <br />ate Approved <br />