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L_ <br />everett <br />Q APPLICATION FOR RIGHT-OF-WAY USE -PERMIT <br />VType Or print clearly enlh ml, '� �nf <br />FRESS HARD - YOU .MyE MAKING COPll:3' E <br />PUBLIC WORKS <br />EVERETT, WASHV!G70N PERMIT N08 <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY.�� <br />HEREBY APPLIES FOR PERMISSION TO_ C►Oh]IC- I� PV BL/C..._ IF)(4,l ol—tv"_ <br />AT THE FOLLOWING LOCATION _�L, f F A S / /V V —.- --- j <br />DRAWING (WORT: TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT 19 VALID FOR 80 DAYS <br />COP" OF THIS APPLICATION TO BE POSTED <br />ON dOUSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPART MENT APPROVALS <br />DRIVEWAY SECTION <br />I" LIP Jl <br />The undersigned owner hereby &green to hold and save harmless <br />the City of Everett from soy and All claims for damagescosts, <br />eapsnaea. or cause& of action that may ar so because OI Installation <br />sad maintenance of the Improvemenl Of tither right Of -WAY use <br />hemlo applied for and ludhni agrees to remove same upon notice <br />from the City and to replace pubbc property damAgiW thereby, <br />AT IE OF APPLICANT <br />4730 �.aLAS <br />AOD& SS <br />Fv&,eE TT cu A 9s a o 3 <br />Clry 21P <br />3-42- 7:f34- <br />IEIEPN0NE NUMNEP ALIE RNAIE <br />JAN z IF <br />DATE <br />CONSTRUCTION/AS BUILT FEE 1978 <br />�F&lip <br />