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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with Ink <br />ki <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETI, WASHI�!GTON <br />PERMIT NO. a V <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY—Ppl��; / /-%�' 0 <br />HEREBY APPLIES FOR PERMISSION TO T <br />Al THE FOLLOWING LOCATION <br />7-315- 497N St. S. &' ('Low,/f <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />rr <br />r " e4 I <br />VVI-� <br />PERMIT IS VALID FFOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DRAINAGE <br />WATER <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TRAFFIC <br />PLANNING <br />STREET <br />PP OVED FOR ULZST UCTION DATE <br />APPROVED AS CONSTRUCTED DATE <br />DRIVEWAY SECTION <br />I" LIP <br />�13. <br />Trc undersigned owner hereby agrees to hold and save harmless <br />the City of Everett from any jpd all claims for damages. costs, <br />expenses. or causes of action t9l may arise because of installation <br />and maintenance of the impmeement or other right-ol-way use <br />hereto applied for and further agrees to remove same upon notice <br />from ,the City and to replace public properly damaged thereby. <br />CONSTRUCTION/AS BUILT <br />1978 <br />