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# <br />161 <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 <br />EVERETT, WASHINGTON PERMIT NO._:�/�/G6._ <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: NeWland Construction // <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION <br />install a 15' driveway <br />7502 Evergreen Way <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL I OR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SDE�P��RT=�y1E.NT.J_ P]OVALS <br />SEWER <br />COMMUNICATIONS <br />taPr <br />DRAINAGE <br />TRAFFIC <br />YM1... <br />.:..: _............ ........ .t .,........ <br />WATER I.. <br />! <br />- ;i3 T .:.`I <br />PLANNING <br />STREET <br />—_. <br />APPROVE R O ST CT Ar� <br />DRIVEWAY SECTION <br />I <br />I" LIP <br />30" r30,1 <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 />expenses, or causes of action that may arise because of installation <br />and mamtenance of the improvement or other right-ol-way use <br />hereto applied for and further agrees to remove same upon notice <br />from the City and to replace public property damaged thereby, <br />--'cis=r - S/ O--_r-r-f'a_f-r_>.0 <br />SIGNATURE OF APPLICANT <br />P.O. Box 956 <br />Everett, Wa. 96206 <br />259-3161 <br />TELEPHONE NUMBER ALTERNATE <br />