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!V!f!K <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� 'fype or prmt cle�dy wi�h mk <br />`� PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. � � 7G <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV: <br />HEREBY APPLIES FOR PERMISSION <br />A'i THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS AT iACHED: �y`� U����� <br />����� �rr-�- � -�� - � � „�, �}-�.� � �'y�% �, �. �,�,i��- ,� ��� <br />PERMIT IS VALID FOR 60 DAYS <br />COPr OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 2s9-B81 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />COMMIINICATIOb i <br />iR�fflL <br />WRiER PLNNNING <br />STREET <br />CONSTRUCTION/i1S BUILT <br />DRIVEWAY SECTION <br />I" LI'r+ <br />I'30 �3� <br />T�e untler6iBneE owner hereby agrees to �oIE an0 seve hatmless <br />Ine Qry ol Everett Imm eny antl all claims for Oamxgee, cosis. <br />e.pensas, or cTuses ol aclion t�at may anse Cecause oi installnlion <br />and mninlenance ol Ihe �mpmvement or olhe� rigb4of-way use <br />herelo applieG lor and luriher agrees to remove same upon nouce <br />irom Ihe Qty and to �epiace pu�nc O�openY tlamagee Ine�eby. <br />//�/ �� � L��+ra <br />/ vi a/ � �. <br />•i �_ <br />1978 <br />