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ever <br />APPLICATION 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 <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: iC • r T (' /1," 7 -Z/W- ' <br />HEREBY APPLIES FOR PERMISSION TO /-;;� / <br />PERMIT NO.—'41�/ Ti�z <br />AT THE FOLLOWING LOCATION �� i' �f �- .� iy%%'/) /%��r�l�// S!/�J �;'//" -�•" - /�/ l(/ - "1� ` /� <br />LU <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 -F <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DRAINAGE <br />DEPARTMENT APPROVtiLS <br />COMMUNICATIONS <br />TRAFFIC <br />PLANNING <br />DRIVEWAY SECTION <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 cel.lses of action that may arise because of installatio t <br />and maintenance o! the Improvement or other right-of-way use <br />hereto applied for and further agre, s to remove same upon notice <br />from the City and to replace public property damaged thereby. <br />APPROVED FOR CONSTRUCTION DATE <br />y/:7f' <br />