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everetl ' <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 />PERMIT NO. /y <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />�{ I <br />HEREBY APPLIES FOR PERMISSION TO pR-I V F Lo j L-I.S. <br />AT THE FOLLOWING LOCATION 7 �� / �7 /Jf i S • L- i <br />DRAWIN(f (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />Per plan s ap�roVej. Aaf-cA 51171zy <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />y <br />API <br />7 <br />DRIVEWAY SECTION <br />I <br />" LIP <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-ol-way use <br />hereto applied for and further agrees to remove same upon nollce <br />from the City and to replace,public property damaged thereby, <br />iGNATDRE OF aPPEIC <br />/ O2a� <br />ADDRESS <br />CITE' )IP <br />2S 3/C� / <br />TELERHDNE NUh1eEn r ALTERNATE <br />15 <br />