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everen APPLICATION FOR RIGHT-OF-WAY USE PERM17' <br />� TYPe or print cleady with mk . <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WOAKS pERMIT NO. g ��� <br />EVEFETT,WASHINGTON <br />APPLICANT ;i1NDERSIGNED) AND FIPM REPRESENTED, IF ANY: <br />HEREBY APPLIES.FOR PERMISSION TO (��� ��� f'���/�n � aF ��/ <br />ATTIfEFOLLOWINGLOCATION ���� — <br />DRAWING (WORK TO BE DONE) OF THREE PLANS� ACH��� y�3 �[ <br />�C p�,�-' j��'9itJ5 fi'��•�LI� < i <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRIl�CTION <br />DEPARTMENT APPROVALS � <br />AS BUILT <br />ORIVEWAY SECTION <br />�� LIP � <br />30" 30 <br />Tho undersigned owner hereby agrees to hold and save �armless <br />tl�e City o� Everett Irom ony end 9II claims lor damages, cosls. <br />expenses. or causes ol ac�ion ihat mey erise because ol inslallalion <br />antl mainlenance ol Ihe improvement or oiher right-ol-way use <br />herelo applie0 lor antl lurther a3�ees m remove same upon nobcc <br />Irom the City antl to rep�ace publ¢ pmperty dama9etl thereby. <br />�a«� ) �� i - z3� `-�-- — <br />TEL[PnONE UM118ER hLtERNATE <br />��� lo i981 <br />DAiE <br />::� <br />1978 <br />