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APPLlCATION FOR RIGHT-OF-WAY USE PEFiMIT <br />Type or print cleerly v.ith mk <br />Pfi[SS HA!iD - YOU ARE NAKING COPIES <br />PUBIIC WORKS <br />EVERETT,WASHINGTON <br />APPL�CANT �UNDER£IGNED) AND FIRM REPRESENTED. IF AN1: <br />HEREBY APPLIES FOR PERMISSION TO <br />AT THE FOLLOWING LOCATION 2- �' Q Z' �7 �j $ wa ���µr 5� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACMED: <br />DR�IN�GE <br />W�TER <br />SiNEET <br />DEPART�'ENT APPROVALS <br />COMNUNICFTIONS <br />TPnFfiG <br />PUNNING <br />APPPOVE� �OR CONS��RUCTION ONTE <br />APPROVEDAS CONSTqUCTED OnTE <br />PERMIT NO.��� <br />��� � <br />�ti�y� <br />ao��„ � ,��o��_I <br />� <br />The unacreiBneE owner hereDy egreee lo ho10 enE seve hermlese <br />the City oi Everetl Irom eny enC all c�eims for Oameges, casts, <br />eaPenses. o� causes ol eclion Ihat may erise Eeceuse oi installetion <br />ano mAinlenenCC OI Ihe improv¢m¢nl or oiher righbOl-wey u5¢ <br />Iler¢IO appliM IOf an0 Iurihei 3gte¢5 IO �¢mOv¢ 50m¢ upOn nObCe <br />Iwm Ine City ana lo �eplece pu�hc proDerty aemaged Iheieby <br />.�C�- �33� <br />iEIEPNONE NUMDER 4LiEANFtE <br />//- 3U-���' <br />oA�E <br />