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W <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />At the following location <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE— — <br />I" LIP <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING, DEPT. 2598011 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb &Gutter <br />Sidewalk <br />ik <br />Insp rs Signature <br />APRIL-79 <br />ae <br />Remarks <br />11389 <br />11389 <br />PERMIT NO. 'N /�_ <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 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 />damaged thereby. <br />Signature of Applicant <br />Address <br />Telephone Number <br />Date <br />Fee <br />Dept. Approvals <br />Engineers <br />Water <br />Street _ <br />Communications__ <br />Approved by <br />INSPECTOR'S COPY Date Approved <br />