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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />cvrrrtl <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />10675 <br />PERMIT NO. %� - 7 46 <br />The Undersigned . I %l'AT I r.,I r.1e.- <br />Hereby applies for permission to i =��1 I', id t1 C 1 /A� �f I C' �w/C MN i �! '-1 a�T'� • ----- -- <br />r <br />At the following location 11 o - L ;� r217 -_. i +. t. <br />(Work to be done) <br />DRIVEWAY SECTION <br />NO SCALE <br />' I t l" LIP <br />Q' -430 � <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 759-88I 1 <br />74 HOURS RE FORE CONSTRUCTIONi <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curti & Gutter <br />Sidewalk <br />, :V ccv <br />Inspector's Signature <br />Remarks --.. <br />Note: Original to Customer I Cnpy to File 10675 <br />I Copy to Inspector <br />TEE kn 1N4 br:0.70 <br />I- <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 />t,on anu maintenance of the Improvement hereto <br />applied for and further agrees to remove isms upon <br />notice from the City and to replace public property <br />dam re / <br />g ature of Applicant <br />Z� - - 7 <br />Address <br />Telephone (lumber <br />Dept. Ap royals <br />s <br />Engineenh_•' <br />Communications <br />Planning <br />Approved by <br />Date Approved <br />