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Lei APPLICATIN FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. � ! eI/n/ <br />APPLICANT (UNDERSIGNED) AND FIRM REPRES TED IF ANY <br />7:� <br />�'�'�j�-�y�i" VHEREBY APPLIES FOR PERMISSION TOaus< a <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />i v{STiP�iA�L f�aT�"�Tio'V <br />c1e� 4-/0- 79. <br />I <br />�L <br />(, � <br />C i IIS4voAb)kS`� I'c <br />CleveS I� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-661 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />DRIVEWAY SECTION <br />-- `I'� Lip <br />30 --- -- 30. <br />The undersigned owner hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages. costs, <br />expenses. or causes of action that may arise because of installation <br />and maintenance of the improvement or other nghl-ol-way use <br />hereto applied for and further agrees to remove same upon notice <br />from the Cory and to replace public property damaged thereby. <br />,,?aG- W7-0060 <br />- ��i-eLY/7 <br />