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, <br /> PvcrPll 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 /> PERMIT NO-..-31=2–(e— <br /> EVERETT.WASHINGTON <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED,IF ANY: -- - -- -" - — <br /> HEREBY APPLIES FOR PERMISSION TO _ <br /> AT THE FOLLOWING LOCA PION_ <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. 30" 1 r _, 30"91 <br /> CALL FOR INSPECTION 259-881 1 Y' <br /> 24 HOURS BEFORE CONSTRUCTION T no undersigned owner hereby agrees to hold and save harmless <br /> ,, City of Everett from any and all claims for damages. costs, <br /> , .penes.or causes of action that may arise because of installation <br /> and maintenance of The improvement or other right-of-way use <br /> hereto applied for and further agrees to remove same upon notice <br /> from the City and to replace public property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> � <br /> DRAINAGE TRAErIC C <br /> � GJU>�J / <br /> WATER PLANNING G TURF OT APPLI AN <br /> wog Y/q <br /> ADDRESS' <br /> STREET r <br /> �/,?/t �J.✓DCI v ZIP <br /> A R V F R N , ION egTfZ/2 ?— C/ — <br /> TELEPHONE NUMREP_r ALTERNATE <br /> qp � ASCO STRUC ED <br /> DATE GALE <br /> VV <br /> CONSTRUCTION/AS BUILT itt 1978 <br />