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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 <br />EVERETT, WASHINGTON ,�` IT NO. <br />APFLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION _ <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />\ - « 6-7.4 -SO <br />�x\5�-;.,5 s,d�el,..at►� a 9 c�C>• <br />` <br />02 wi Qfiv 2 fw�t eb1 <br />l+e,- <br />✓�ws� �e do, -�v V.ecic aL- <br />S rnw -awl- Q <br />r <br />0 <br />PERMIT IS VALID FOR 60 DAYS <br />`score lvnRr-v'. <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 269-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DRIVEWAY SECTION <br />f LIP <br />r30' <br />The undersigned owner hereby agrees to hold a,td 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-of-way use <br />hereto applied for and lurlher agrees to remove same upon notice <br />from the City and to replace public property damaged thereby. <br />DEPARTMENT- APPROVALS <br />SEWER COMMUNICATIONS <br />DRAINAGE TRAFFIC (\`ywcl �A ' 1 I <br />WATER PLANNING � A RE LI6 JT <br />STREET - 'SfrIF\I, K A1Olf I ✓Z I pk I F.'C' eox GV-IQ <br />P ROVEU FOR N& RUCTION <br />i ONC NU�IOER ALTERNATE <br />2 -GU <br />APPROVED AS CONSTRUCTED DATE r,.-; 7 ?ATE <br />1 <br />CONSTRUCTION/A5 BUILT FEE 1978 <br />