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1 <br />!Vl1�ff <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print cleerly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT,WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRE�ENTED, IF ANY: <br />HEREBY AppLIES FOR PfRMISSION <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE 70NE) Oq THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAXS <br />PERMIT NO. �0 01 <br />DRIVEWAY SECTION <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. �� i i" uP <br />CALL �OR INSPECTION 259-881 1 �30+t�-- �30" <br />24 HOURS BEFORE CONSTRUCTION <br />sEwe� <br />DRFiW1GE <br />WAiEH <br />DEPARTMENT APPROVA�S <br />cor.u,+�wcanor�s —__ <br />�'L4NNING <br />STREEi <br />�OVED FOR ¢mN57,q�0� � oar I�� <br />lJ <br />APPROVED AS CONSTRUCTED ONiE <br />COi�!S I i IU�-; I IQ��1;;�� f>illl_ j <br />7he undersiynetl owner hereby agree. to hold antl save harmless <br />Rie Gty of EvereU Imm nny anU all claims for tlamages. cos�s. <br />erpt�nses. or causes ol action Ihat may anse because ol mstallalion <br />.lntl n4liNendnce OI ��C implOvemCni ur o�her riqbl-pl.pdy liSC <br />berplo apl���ed lor an0 luqher agrers Io �emove same upon nol¢e <br />Irom Ihe Gty antl Io replace pupLc O�opf�rty damagetl Ihere�y. <br />��5 � ��79 <br />1E�EVhONE NU6��Eq qL1ERNAtE <br />� �3 o�S1D <br />oniE _ <br />