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�����IL�/� <br />everett <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or prin� Clearly wilh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />APPLICANT (IiNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION ����+ i rL �� f� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />5[WER <br />OAA�N/GE <br />WATER <br />DEPARTMENT APPROVALS <br />COMMUNICALIONS <br />TRAFFlL <br />� � <br />/ �: ,�. �- ,;; • i G <br />`t �^ � S LANNINC � J CJ � <br />���� ; <br />� �. <br />r�., . <br />— � � — <br />� f . . '�� <br />� � s`� �, !�r f:`7 <br />� .S ' ' � <br />DFTE <br />r�•,!�TI� _ICTlnn�i,,,c Ri'ilT <br />PERMIT NO.�_�.� <br />_�� �� <br />DRIVEWAY SECTION <br />I'� LIP <br />�3p�� �30„ <br />Tho undersigne0 owner hereby ngrees to holtl aM save �armless <br />Ihe City ol Everett Irom any and all claims br _.lmagec, cnsts. <br />e�penses. or causes ol Bclion Ihal may arise because oi In51811a1mn <br />and mainienance of ihe improvement or other righ4of-way use <br />t�ere�o ap0lred lo� and lur�hcr agiees to rcmove same upun nohrn <br />Imm Ihe C�Iy and to replaze O��blit Oroperly aamage0 Ihaeby, <br />G L �� `� � `r( <br />1ELENNONE NUM�ER /L1EtiNniE <br />7978 <br />