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ii <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10740 <br />PERMIT NO. " 2- <br />The Undersigned l h _;,,,-i.J0,t <br />Hereby applies for permission to _ '.4 -. r :✓L r ,7 ?� �4,�...-; ,-7 <br />At the following location�fb <br />SKETCH <br />(Work to be me) <br />SC,' q reiC'NFJ <br />DRIVEWAY SECTION <br />NO SCALE <br />/1" LIP -- - 3OI <br />COPY OF THIS APPLICATION !0 <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT, 259.8611 <br />24 HOURS BErORE CONSISUCTIONI' <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb Gutter <br />Sidewalk <br />Inspector's Signature <br />Remarks <br />Note: Original to Customer <br />t Copy to File �_ tj' ^ 0 <br />t Copy to Inspector <br />The undersigned owner hereby agrees to hnld 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 some upon <br />Wolice from the City and to replace public property <br />--� 'c-1 - 7;F <br />Telephone Nubet <br />Fee <br />�Dep�t.. Appfpvals <br />Engineers Lt.�i.I C./hr_- <br />Water <br />Street " <br />Communications <br />Traffic <br />Planning <br />Appr?,ed`Z np <br />Date Approved <br />