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`. <br />everetl <br />� <br />APPLICATION FOR RIGFiT-OF-WAY USE PERMIT <br />Type pr print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES • <br />PERMIT NO. U �'3S_ <br />PUBLIC WORKS <br />EVERETT. Wi�SHIMGTON <br />APPLICAN'f (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBV APFLIES FOR PEF7MISSION <br />.4T THE FOLL0IHING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE P03TED <br />ON JOBSITE. <br />CAL[_ FOR IN�PECTION 259-881 1 <br />dA HOURS BEFORE CONSTRUCTION <br />DFAINAGE <br />STREET <br />DEPARTMENT APPROVALS <br />COMA1UNiCATiONS <br />TRRFfIC j <br />! NNiNu <br />( GZN ' / f—K'%I �/��/Oei <br />APPROVED F F CONSTRUCTION �^T! <br />`� J —��' �/ � <br />q P VED AS CON D onrE <br />CON�7ilUCTIONi�AS L3UIL � <br />�� <br />V 7-1j—�O <br />DRiVEWAY SECTION <br />� � <br />� <br />� I'� LIP _� <br />�3p" �30„ <br />T�� un0ersignetl owner hereby egrees Ir, hola and save harmless <br />Ihe Ciiy o� Evnrett Imm any and nll naims lor tlamages, cosls. <br />eapen5e5, or Causes ol eclion ihai may Arise UeCause ol in5iallatmn <br />antl mainienante ot t�e improvement or other righDol-way use <br />herMO apphed 10� and lutlher ag�cos lo mmove same upon nol¢e <br />Ircr� ihC C�ty anE lo replace pubbc propeily damaged Ihereby. <br />35'3 -ys"3 0 <br />i[L�� ONE NNdOE"_� — ALiCRNAtE — <br />DAtE � 0 <br />t <br />�ii — - - - -- -- 1978 <br />