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it ' A> <br />cvE•reft <br />ue <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 PERMIT NO. <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY <br />HEREBY APPLIES FOR PERMISSION TO_ <br />AT THE FOLLOWING LOCATION I. <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR o0 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 />SEWER <br />DRAINAGE <br />WATER <br />STREET <br />DEPARTMENT APPHOVALS <br />COMMUNICAIJONS <br />TRArr IG <br />PLANNING <br />APPAOV150 FOR CONSTRUCTION DATE <br />wAPPROVED AS CO STRUCTED DATE <br />DRIVEWAY SECTION <br />The undersigned owner hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damagescosts. <br />expenses. Or causes of action Thal may arose because of Installation <br />and maintenance of the improvement or other IIght-obway use <br />heteto applied to, and further agrees To remove same upon notice <br />from The City and to replace public property damaged thereby. <br />N <br />INITIAL INSPECTION REQUESTED <br />