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i <br /> CV19Cll <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_)Ob — 77A• Z' `S4J l��"" -- <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" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-991 1 1 - <br /> 24 <br /> '24 HOURS BEFORE CONSTRUCTION E The undersigned owner hereby agrees to hold and sere harmless <br /> the City of Everett from any and all claims for damages, COSI. <br /> evpenses.or causes of action that may arise because of Installation <br /> and maintenance of the Improvement or other right-ol-way use <br /> hereto applied for and further agrees to remove same upon notice <br /> from find City and to replace public property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC ---_ ot/40" <br /> WATFA PLANNING ` OGN URE Or APPLICAN' <br /> og /y�/(f� s <br /> STREET )- AOC Y'/1"Y/ <br /> `/.�� . <br /> '/A <br /> C 7 Iron 7 e ZIP <br /> APR V N RU�fIC�F� I D� t a �/�fOC/ C <br /> TELEPHONE NU'ABEP ALTERNATE <br /> APPRU - ONFTR CTED DA E GATE <br /> CONSTRUCTION/AS BUILT TEE ---1978 <br />