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sells <br /> i <br /> APPLICATION FOR RIGHT-Cir—WAY USE PERMIT <br /> Type or print clear y with Ink <br /> Ll <br /> PRESS HARD- YOU ARE MAKINU 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 /4ol 77 vPL �ltJ' Gl�fEt�G' '"� �� 982-03 <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 I I" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECT40N 25"'1-861 1 1 <br /> 24 HOURS BEFORE CONSTRUC PION The undersigned owner hereby agrees to hold and sere harmless <br /> the City of Everett from any and all claims for damages. costs. <br /> expenses.or causes Of action that may arise because of Installation <br /> and maintenance Of the Improvement or other nghbol-way use <br /> hereto applied lot and further agrees to remove same upon notice <br /> from the Cay and 10 replace public property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC <br /> C- <br /> WATER PLANNING IGNAI RE OfAPPLICANT <br /> STREET <br /> 1/G I A a -] p <br /> / fnZIPy�7O i <br /> AP ROV N 1 -I DC--) <br /> TELEPHONE NUMBER ALTERNATE <br /> 16 Zt1li-Y (2,91 <br /> AP D AS CONS,RUCTE DATE DATE <br /> CONSTRUCTION/AS BUILT FEE 1978 <br />