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eve.etl <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />f Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS F/ / <br />EVERETT. WASHINGTON PERMI-i NO. �J.L <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY. <br />HEREBY APPLIES FOR PERMISSION TO C01 - I A I f eT �' / C� I Vt- A) rq / <br />AT THE FOLLOWING LOCATION J ✓ D c, <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />c1ia a�a- ' )i ,gym.. � 1' P ja/. <br />Nb A-SFt igLT <br />L <br />PERMIT IS VALID FOR 60 DADS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />API <br />CONSTRUCTION/AS BUILT <br />DRIVEWAY SECTION <br />j l'r LIP <br />�30„ I �30 <br />I T <br />The undersigned owner hereby agrees to hold and save harmless <br />the City of Everetl from any and all claims tot damages. costs. <br />expenses, or causes of action that may arise because of Installation <br />and maintenance of the improvement or other ngh4ef-way use <br />hereto applied for and further agrees to remove same upon Felice <br />from the City And to replace public properly damaged thereby. <br />ADDRE5s, <br />CIT>r_ <br />jNUk RR /saE <br />TELEP140jiE <br />/ <br />ALIERNAIE <br />i ! % <br />DATE <br />FEE <br />1978 <br />