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UAPPLICATION FOR RIGHT-OF-WAY USE PERMIT;"Type or print Clearly With Ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EV_RETT, WASHINGTON PERMIT NO. <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: Newland Construction / <br />HEREBY APPLIES FOR PERMISSION TO install a 15' driveway <br />AT THE FOLLOWING LOCATION 7502 bvergreen 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 FOR MISPECTION 255-8131 1 <br />24 HOURS BEFORE CONSTRUCTION <br />E <br />' ARTIy1Ef{T_APIR OVALS <br />at <br />�51 ojf, <br />SEWER I COMMUNICATIONS <br />(del <br />DRAINAGE TRAFFIC <br />....�/ "/ F�r/p <br />WATER 2- t(,F(I�CJ PLANNING <br />STREI <br />APPROVED 50R/CONSTRTIONUCATE <br />L/ ( <br />APPR u+S ONSTRUCTED DATE <br />CONSTRUCTION/AS BUILT <br />DRIVEWAY SECTION <br />LIP <br />i_ 30,f 30i1 <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 maintenance of the improvement or other right-ol-way use <br />hereto applied for and further agrees to remo,•e 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 />259-3161 <br />TELEPHONE NUMBER ALTERNATE <br />s-e-6/ <br />FEE <br />1978 <br />