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everen <br />� APPLICATION FOR RI�HT-OF-WAY USIE PERMIT <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WqSHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRE'iENTED, IF <br />HEREBY APpLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION _�� 2 �'�y,� � U� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�:�Zc��� ����� �� �� �,��irl <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />AN JOBSITE. <br />CA�.L FOR IN�PECTION 259-8�t 1 <br />?.4 HOURS BEFORE CONSTRUCTION <br />tiLWCq <br />OR4INAGE <br />WATER <br />STNEET <br />DEPARTMFNT APPROVALS <br />COMMUNICqTIONS <br />TPAFiIC <br />GLANNING <br />APP DVED F 9(,pNSTRUCTION � 27 <br />AT�� <br />PERMIT N0.�33� <br />DRIVEWAY SECTION <br />�-- —� <br />+I'� LIP —�� <br />30"�_ —��7+—�I <br />T�e untlerelgnetl owner hareby egrees to hottl antl sevo nermless <br />the City ol Everett hom any au0 all cluims lor tlamages. costs. <br />expenses, or causes ol aclion Ihal muy erise because ol insiallauon <br />antl maiMenance ol I�e improvemenl or' oiher nght-ol-�y�y use <br />herelo eppbetl IOr and Iuriher agrees b remove Same upon nphcC <br />Irom I�e Cily antl lo replace puChc proper�y tlPmagetl Ihereby <br />Jl l�_I •l,(�� ) <br />iflfn�nu!•, .�i `— —�-� <br />