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i <br /> everelt <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> 11 p <br /> PUBLIC WORKS PERMIT NO. .. "d-�'(- <br /> — <br /> EVERETT,WASHINGTON <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED,IF ANY.__ - - - <br /> HEREBY APPLIES FOR PERMISSION TO- <br /> A --- ------ -- <br /> AT THE FOLLOWING LOCATION <br /> 77 <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED <br /> ON JOESITE:. 301. <br /> CALL FOR INSIPECTION 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. costs. <br /> eur,onses.or causes of action that may arise because of Installation <br /> and maintenance of the Improvement or other rlght.ol-way use <br /> hereto c Clay antand luither tl to rep ace agregree to remove <br /> damaged thereby. <br /> ice <br /> DEPARTMENT APPROVALS from <br /> .--�-�- COMMUNICAtIONa <br /> SEWER <br /> � TRAFFIC "OPC <br /> ORMNAOE ION <br /> ---�_� PLANNING `fly!-A�N- <br /> WAIER (yam <br /> A tin 5 <br /> STREET <br /> zip <br /> Z O ra E Clivw��� � <br /> A pyEF t 1 " N U 1 laa EEE <br /> 1ELEPtIORHO((CC1` ALTERNATE <br /> NE N'If.IUER <br />