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everrft <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> �j Type Or print Clearly with Ink <br /> PRESS BARD - YOU ARE MAKING COPIES <br /> PUBIC WORKS ( _ <br /> PERMIT NO. S <br /> EVERETT,WASHIN(".ON <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO //�� <br /> AT THE FOLLOWING LOCATION 1IL9 — 77� !"`- •�4 <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED `I" LIP <br /> ON JOBSITE. W 30" <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to holt save harmless <br /> d,e City of Everett from any and all claims for damages, costs. <br /> —penes.or causes of action that may arise because of installation <br /> ;Ind melnlenonce of Ilse Improvement or other right-of-way use <br /> neteto applied for and further agrees to remove same upon notice <br /> nom the City and to replace public properly damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE 1RAf FIC <br /> ViPLANNING 5 NATURE Of APPLICANT <br /> STREET nppnt Sti <br /> / C city LP <br /> 1 DALE (� 1(// <br /> • � FFIFPI.ONE NUMBER ALIEPNATE <br />