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-K- - _ - <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Typo or print clearly with ink <br /> El <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT, WASHINGTON PERMIT NO. —ZS <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:--------- <br /> HEREBY <br /> NY: -- —HEREBY APPLIES FOR PERMISSION TO <br /> AT THE FOLLOWING LOCATION <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHEn: <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT 1!, VALID FOG4 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED L j I" LIP <br /> ON JOBSITE. I � � 1. <br /> CALL FOR INSPECTION 259-881 1 1'3�t•'— �T3—�1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> The City of Everett from any and all claims for damages. costs. <br /> expenses.or causes of action that may ansa because of Installation <br /> and maintenance of the Improvement or other nghbof-way un <br /> hereto applied lot and lurcher agrees to remove same upon notice <br /> from The City and to replace public property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRATicC <br /> "el� Vf"x/C/ <br /> WATER CIANNINO SIGNATURE Of APPLICANT <br /> 0 y's <br /> STREET DRESS <br /> I .� cI IIP <br /> 1 V 1 N RUCTION <br /> TELEPNONE NUMOEn ALTERNATE <br /> D ASC IUCTET( O 16 DATE DATE <br /> CONSTRUCTION/AS BUILT TEE 1978 <br />