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ElAPPLICATION FOR RIGHT-OF-WAY USE PERMIT Tyoe or print clearly with in <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT NO. <br />EVERETT, WASHINGTON <br />- J <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY. <br />•c _— E--- <br />HEREBY APPLIES FOR PERMISSION TO <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />C`A� <br />�� o-re a_S <br />lavLSuj <br />1�CL cz .cJ (J�rlc\� <br />o =� � � p®cL�^ cep L� �L e S ba y <br />p?'F4C'C>rLx <br />o\tea <br />.�. w <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-681 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DRAINAGE <br />WATER <br />STREET <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TRAFFIC <br />PLANNING <br />A5PROVED FOR CONSTRUCTION DATE <br />DRIVEWAY SECTION <br />30" f <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 Anse because of Installation <br />and r-ainlerance of the improvement or nerelJ V use <br />apphed for and lulthel agrees to Or emovesamt a euponnotie <br />Irom The City and to replace pubic Pionrrty dopgeo,locieby. <br />—�—AI ERN.,E <br />+EEFPNO NUMRER <br />