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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print cle• fly with ink <br />ri <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT. WASHINGTON PERMIT <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY. <br />HEREBY APPLIES FOR PERMISSION TOfJ.1!,-r,—CWF-F' <br />AT THE FOLLOWING LOCATION sce> 9-,YT <br />DRAW114G (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />SEWER <br />DRAINAGE <br />STREET <br />DEPARTMENT APPNOVALS <br />COMMUNICATIONS <br />TRAFFIC <br />PUNNING <br />DRIVEWAY SECTION <br />L30" T If __ _I_30" <br />The undersigned owner hereby agues to hold and aam harmless <br />the City of Everett from any and all <Idims for damages, costs, <br />expenses. or causes of action tbat may Anse because of installation <br />and maintenance of the ant rcrement of other right of way use <br />hereto appheC'ur and fus:her agrees to remove Same upon notice <br />from the City and to replace public property damaged Thereby <br />Ar jzP1-�VFD FFOR CDNSTRUCTION CAIE •f f .j 313 <br />/ <br />_ TEEEPNON NUMBERR �- <br />