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r <br />W <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10205 <br />PERMIT NO. v7 <br />At the following location % — 91 <br />Sf.Al S. G. LO %—// <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />/1" LIP <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING UEPT. 2540011 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb &Gutter <br />Sidewalk <br />Inspecto'sSignature-------------- -_--- <br />-bate ---_-_--- <br />eiemarks <br />Note: Original to Customer <br />I Copy to File 10205 <br />1 Copy to Inspector <br />q/sr <br />/ Fl . S. <br />;twq, dI <br />'Aft, <br />449.) <br />No sc;t4cE. <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 />lion 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 />damaged thereby. /1 / <br />Date <br />Fee/2,s o /ps� <br />• <br />Dept. Approvals !� <br />Appry a by <br />dal Approv d <br />