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� eV� <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 <br />APPLICANT (UNDERSIGNED) AND fIRM REPRESENTED, IF <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />5.�. �,��9 � �-� �e� w� <br />��-�,�I, ��o r a�t � a I <br />Cm�.�ac� i �n 5���`^' . <br />PERMIT IS VALiD FOR 6U DAYS <br />COPY OF THIS IIPPLICATION TO BE POSTED <br />ON JOBSITE. <br />CAL� FOR INOSPECTION 259-881 7 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />ORAINAGE <br />WATER <br />DEPARTMENT APPROVALS <br />COMMUNIGATIONS <br />TRAFFlC <br />PLANNING <br />— �-1�--�%. <br />PERMIT NO. 7�� <br />Ca,,,S�vvc.l � �. J¢rJ-� n� <br />�U���a�� re�p���e�....-ts <br />0 <br />DRIVEWAY SECTION <br />I" LIP <br />� 30" r �_30" <br />The untlersigned owner hereby agrees to �oltl antl save harmless <br />the Ciry ol EvereU Imm any �nd all claims lor tlamages. costs. <br />expenses. Or causes ol ac�ion Ihat may arise because o� installation <br />antl maintenance ol Ihe improvenien� or olhm ngh�-of-way use <br />here�o applied lor antl lur�her agrees �o remove same upon no�ice <br />Iwm Ihe Ctly antl to replace public Droperly damagetl Ihereby. <br />-4 ��o <br />�// <br />�U <br />� <br />