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rvrretl <br /> ® APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> `-j 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'0-- <br /> AT <br /> O—AT THE FOLr-OWING LOCATION au— / 7 ?L4 , L ' Sw <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID e=OR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED I" LIP <br /> ON •JOBS!?E. 30 f 30" <br /> 0111 <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The undersigned owner hereby agrees to hold end save harmless <br /> the City of Everett from any and all claims for damages. Costs. <br /> expenses,or causes of action that may arise beC muse of installation <br /> and maintenance of the Improvement or other �,,ht-of-way use <br /> hereto applied for and further agrees to remove aA e „pon notice <br /> Iron the City and to replace public property dAmlged thereby, <br /> OEPARTMLNT APPROVALS <br /> SEWER COMMUWOATIONS <br /> DRAINAGE— TRAFFIC <br /> PLANNING --- / f �� <br /> Of APPLICANT <br /> X03 / 1 <br /> SIRS LT AODRE55 <br /> CIT, LIP�,✓o CoA p <br /> Giv <br />