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everett <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with Ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT NO._� <br />EVERETT. WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />Newland Construction <br />HEREBY APPLIES FOR PERMISSION TO <br />install a 15' driveway <br />7502 Evergreen Way <br />AT THE FOLLOWING LOCATION _. <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />cW^ tM el4-5 -5e-c- Plc.N <br />atI/ <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 CONSTRUCTION <br />DEPARTMENT APPROVALS <br />�— COMMUNICATIONS <br />SEWER <br />L TRAFFIC <br />DRAIW`.GE <br />PANNING <br />WATER <br />STREET <br />/-IILr DM� <br />APPROVEDy R COI ST UCTION <br />DRIVEWAY SECTION <br />I <br />r(I" LIP <br />1 <br />P 30" <br />The undersigned owner hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, <br />oxpenses. or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-ol-way use <br />hereto cpplled for and further agrees to remove same upon notice <br />from the City and to replace public property damaged thereby. <br />SIGNATURE OF APPLICANT <br />P.O. Box 958 <br />Everett, Wa- 98206 <br />255-3161 <br />r FLEPHONE NUTAaER GLTERNATE <br />