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<br /> � APPLICATION FOR RIGHT—OF-WAY USE PERMIT
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<br /> ,PUBIIC WORKS 7�
<br /> EVERETT,WASHINGTON PER�v11T NO. y�/��v
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<br /> APPUCANT (UNDERSIGNEDI AND FIRM REPRESENTED, IP ANY: - —
<br /> HEREBY APPLIES FOR PERMISSION TO_ '—' �i � � �
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<br /> AT THE FOLLOWING LOCATION � -
<br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED:
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<br /> DRIVEWQY SECT�ON
<br /> PERRAIT IS VALID FOR 60 DAYS � �
<br /> COPY OF THIS APPI.ICATION TO BE POSTED � � i" LIP
<br /> ON JOBSITE. 30" 30"
<br /> CALL FOR INSPECTION 259-881 1
<br /> �I 24 HOURS BEFORE CONSTRUCTION
<br /> The undersignetl owner hereby i grees to hold entl save harmless
<br /> �he City ol Everett Irom nny anU all claims lor tlamxges. costs.
<br /> eKpenses.or causrs ol action Ihat may arise because ol inslallation
<br /> � and ma�ntenance ol Ihe impmvement or othM righl�ol-wav use
<br /> r,� �Cre�o apphed la�ena lur�lier Bgrees fo remove same upon rOtite
<br /> Oom Ihe Ciry an0 to rep�ace pubht propert� da���agea In^�^�y.
<br /> DEPARTMENT APPROVALS
<br /> SEWER COMMUNiGAT�pNS � '
<br /> DR/INAGE TRAifIC ,
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<br /> WATEP PL4 i SGNnTUREOlAPn�i�qNi
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