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evcrctt <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or pint Clearly With Ink <br /> PUBLIC WORKS PRESS HARD - YOU ARE MAKING COPIES <br /> EVERETT.WASHINGTON <br /> PERMIT NO <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO <br /> AT THE FOLLOWING LOCATION <br /> -DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> i <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR UO DAYS _ <br /> COPY OF THIS APPLICATION TO BE POSTED — <br /> ON JOBSITE. I I' LIP <br /> CALL FOR INSPECTION 259-881 1 t 30—+� — —.—_ ____ 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 /> expenses.or causes of action that may arise because of Installation <br /> and maintenance if the Improvement or other nph Lobway use <br /> hereto applied for,Ind further agrees to remove same upon nol•ce <br /> DEPARTMENT APPROVALS nom the City and to replace public property damaged thereby. <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFr <br /> WATER PLANNING SIGNATURE Of APPLICANT <br /> STREET /1 Yl <br /> DRES�a 5 <br /> �P s <br /> V L U I 7- LP <br /> �ZOyFySG <br /> TTLEIwONE NIIMnER 7 AI II ;ATI <br />