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lYthlfl <br />APPLICATION FOP RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />PERMIT 140.2- <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:_ <br />HEREBY APPLIES FOR PERMISSION TIC <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWER COMMUNICATIONS <br />DRAINAGE <br />WATER PLANNING <br />STREET <br />APPROVED � TRU ION <br />APPROVED AS CONSTRUCTED oatE <br />RFFERENCECOPY <br />DRIVEWAY SECTION <br />L��--*1" LIP <br />0 T 30" <br />The undersigned owner hereby agrees to hold and save her^It-ss <br />the City of Everett from any and all claims for damages, costs. <br />expensesor causes of action that may arise because of installation <br />and maintenance of the Improvement or other right-of-way Use <br />hereto applied for and further agrees to remove same upon notice <br />from the City and to replace public property damaged here:y <br />i <br />TELEPHONE NUMBER ALTERNATE <br />/2-/7-7k <br />DATE <br />