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APPLICATION FOR RIGHT-OF-WAY <br />UPPEM 11389 <br />IF <br />CITY ENGINEERS <br />'P4o' <br />EVERETT,WASHINGTON ,�yy / MIT NO. <br />The Under;.igned L• I Cam, X rL i �/Z �� i l -Oh 4� % C <br />Hereby applies for permission to .C,,)—t?.."—) .0 F I v7n r ✓,x L Y, ,r <br />At the following <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />I" LIP <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259.8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />Date <br />Remarks ----- o <br />r <br />5/ <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 arisn because of insialla• <br />tion and maintenance of the improvement hereto <br />ap lied for and further agrees to remove same upon <br />n tic rom the City and to replace public property <br />H <br />3 SA ->708 • "" <br />Telephone Number <br />Date <br />Dept. Approvals <br />Engineers <br />Water <br />Communications _ <br />Traffic <br />Planning <br />Approved by <br />cUfTOMax Date Approved <br />