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c <br />r <br />1 <br />'ey n <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 />PERMIT NO. <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY:�41 <br />f I I <br />HEREBY APPLIES FOR PERMISSION TO / I_ `�k V t UCH. 1=-)c�L'���------ <br />AT THE FOLLOWING LOCATION <br />32Jr3 <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACFL.� <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 />DEPARTMENT APPROVALS <br />STREET <br />I <br />APPR ED F R CONSTPUC N ATLAV <br />5rt1-/ <br />DRIVEWAY SECTION <br />j I" LIP <br />II 30 <br />The undersigned owner hereby agrees to hold and save harmle,.s <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 tr remove same upon notice <br />from the Gly and to replace public property damaged thereby. <br />et�S 3SS /703 <br />TELEPHONEINUVEIER <br />ALTERNATE <br />-- <br />�xl <br />