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PUBLIC WORKS <br />EVERETT. WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or pool clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PERMIT NO. �G <br />APPLICANT IUNDERSIGNEDI AND FIRM REPRESENT ED. IF ANY: <br />HEREBY APPLIES FOR PERMISSION TO_ <br />AT THE FOLLOWING LOCATION_��_ /7 TN S7 SE �VEPETTI WA <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT 9S 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 �1T <br />SEWER COMM T1 "S el <br />}1 <br />DRAINAGE TRAFFIC UUGI U <br />1 <br />WATER_. <br />TT3R3V3 'an YTq <br />STREET aqxj ZX701,11" 3ftq <br />tlulv0l llul l IWINIMS 01111T <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 damages. costs. <br />BA penses, or causes of action that may Anse because of Installation <br />and maintenance of The Improvement or other right-ol way use <br />hereto applied for and runnel agrees to remove same upon notice <br />Itom the City and to replace public properly damaged thereby. <br />SIGNATIIRE Or An •NI I <br />'14 6o 7A-X?- �/hr <br />4tvrMrw alA r 9fs a o 5' <br />CITY — tin <br />33 y yo� U. <br />AEIErIN.IE <br />TE,EPN NE NUMn n <br />6 / "3 8' o <br />OAT <br />1978 <br />