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Everett. <br /> P ^PLICATION FOR RIGHT—OF—WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETI,WASHINGTON PERMIT NO. Bl ' 2l <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED.IF ANY: <br /> HEREBY APPLIES FOR PEPPOSSION TO �i p _ <br /> AT THE FOLLOWING LOCATION * - 77 tA of i SeGcJ. �I/G tyt A i t.42. / &W <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS J <br /> COPY OF THIS APPLICATION TO BE POSTED <br /> ON JOBSITE. I <br /> CALL FOR INSPECTION 259-88 � <br /> 1 7 I WI 30' <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The undersigned owner hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages, costs, <br /> e}patties.Or CaUbea OI aC110p That may arise becauseof mstelMllOn <br /> and maintenance of the Improvement or other right-ol-wry 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 /> DRAINAGE TRAFFIC <br /> WATER PLANNING SI�ATUREBOF APPICCANT <br /> STREETuuREeA 5 <br /> <11 <br /> CITv ZIP <br /> A RFRTION GA <br /> // TELEPHONE NUMBER ALTERNATE _ <br /> AP DAS CONSTRUCTED DATE DATE <br /> CONSTRUCTION/AS BUILT It[ 1978' <br /> t <br />