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fiyE� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS PERMIT NO. 1 -Z <br /> EVERETT,WASHINGTON <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANP.—_ — ---------- <br /> HEREBY APPLIES FOR PERMISSION TO <br /> AT THE FOLLOWING LOCATION 8' 77 !�A PL sv�'-j6LC-r42� A 9�ZD <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> 10 <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED I ; I" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> the City of Everetl from any and all claims for damages. wets. <br /> cepansee.or causes of action that rely arise because of Installation <br /> and maintenance of the Improvement or other right-Of•Wly 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 TRAFFIC6 1/ <br /> r <br /> PLANNING NATURE Of APPL iGANAT <br /> WATER <br /> �11UORESS <br /> STREET '/ / A_ �/J �i�J <br /> ZJi'P <br /> C v <br /> A R VE 6 C NS RU I DA1 �L— <br /> 1 -`T`�y1NE E 1ELEPHONE NUMBER Al1ERNAlE <br /> L s-6 -,Y <br /> ( DATE <br /> APPRS(:(1 S UCTEU <br /> CONSTRUCTION/AS BUILT TEE 1978 <br />