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ereF. <br />APPLICATION FOR RIGHT-OF-WAY <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />USE PERMIT <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: ' r (�--A' T YlK <br />HEREBY APPLIES FOR PERMISSION -r0 ./ / <br />AT THE FOLLOWING LOCATION 1- /` 1 X er <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />XJ36�- dwd-l-- <br />PERMIT IS VALID FOR 60 DAV'S <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />PERMIT NO. 7� <br />DRIVEWAY SECTION <br />j I" LIP <br />i 30 T� 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 right-of-way use <br />hereto applied for and further agrees to remove same upon notice <br />from the City and to replace public property damaged thereby. <br />SEWER COMMUNICATIONS <br />DRAINAGE TRAFFIC - <br />WATER <br />STREET <br />PLANNING <br />APPROVED FOR CONSTRUCTION DATE <br />APPROVED AS CONSTRUCTED DATE <br />t <br />INITIAL INSPECTION REQUESTED <br />TELEPHONE NUApBER AL7E9NATE <br />DATE <br />