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• I <br /> ke <br /> rettAPPLICATION 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 PERMIT NO. <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br /> IF <br /> HEREBY APPLIES FOR PERMISSION TO i)L <br /> AT THE 'OLLOWING LOCATION_. <br /> DRAWING (WORT! TO BE DONE) OR THREE PLAYS ATTACHED: <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS <br /> COPY OF THIS APPLICATION TO BE Ph^TED I" LIP <br /> ON JOBSITE. p <br /> CALL FOR INSPECTION 259-881 1 �3�1�-- -----•4.30" <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The undersigned owner hereby Agrees to hold and save harmless <br /> the City of Everett from any and ell Clelms lot damages. coals, <br /> expenses.or causes of action that may arise because of melClatmn <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 /> DEPARTMENT APPROVALS from The City and In replace public nropeny damaged thereby. <br /> SEWER f.ObMUWCATIONe <br /> ORAINAOE -TRAFFIC-- <br /> WATER <br /> RAFFIC -WATER <br /> `y rjl ❑r 0 ['t 4 ZING SIUNA1URE—APP..CANI <br /> STREET A00RE5 <br /> r 111 <br /> ' fl�fit'E TT c�.V'i 98a?o 3 <br /> 1 T <br /> CITY ZIP <br /> rr v o OR CON t o I N VAT <br /> ' � SFl3 <br /> /I T rl ar' YTt ) EIEP NE NI n'nrn - <br />