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f' <br /> i <br /> L•vcrrtt <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or pard clearly with ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHIhC fON PERMIT NO..__'_{-�.L_' <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED,IF ANY: <br /> I HERE81' r APPLIES FOR PERMISSION TO— r' -j <br /> C. <br /> AT THE FOLLOWING LOCATION <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> pp r Ir <br /> 'I \ — EOv1yp 6T 4-4. l^J <br /> _»/ <br /> tuo �P we,� �roblew`s- <br /> .r y <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPL!CATION TO BE POSTED (I" LIP <br /> ON JOBE. �30_ __._ �k301. <br />' <br /> CALL <br /> 4LL FFOR INSPECTIION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages, calls <br /> expenses.or causes of action that may arse because of Installation <br /> and maintenance of the Improvement or other right-of-way use <br /> hereto applied for and lurcher agrees to remove same upon notice <br /> I from the City and 10 replace public properly damaged Iheleby <br /> I DEPARTMENT APPROVALS <br /> SE W EP COMMUNICATIONS <br /> ORAINACE TRAFFIC •/✓' <br /> WATER-- <br /> PLANNFal EIONn PE'OF APPLICANT <br /> PPP/ <br /> STREET ADORE55 <br /> cltr /� J ZIP <br /> APhI1pVEO I Oil CONST H ILII ON DATE S .J /+ �37-:-/Zal1L_-- <br /> TELEPHONE NUMBER ALIERNATI <br /> 9 7 /ff - <br /> APPROFnnscbNs?fitiriEtf-- DATE GATE 0' <br /> INITIAL INSPECTION REQUESTED EEE 1978 <br />