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everett <br /> 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 /> EVERETT.WASHINGTON PERMIT NO.. 1 -2-IR <br /> APPLICANT (UNOERSIGNEDI AND FIRM REPRESENTED. IF ANY <br /> HEREBY APPLIES FOR PERMISSION TO_ <br /> Q .y ` <br /> AT THE FOLLOWING LGCAT' v / / /y � S,CtJ EL/G/'G;J <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 -- ( " LIP <br /> ON JOBSITE. IL pper- I <br /> CALL FOR INSPECTION 259-881 1 x3 30" <br /> 24 HOURS BEFORE CONSTRUCTION <br /> the undersigned owner hereby agrees to hold and save harmless <br /> VIP City of Everett from any and all claims for damages. costs. <br /> e,pensesor causes of action that may arise because of Installation <br /> and maintenance of the Improvement or other righFof.Way Ufa <br /> hereto applied for and further agrees to remove same upon notice <br /> DEPARTMENT APPROVALS from the City and to replace public property damaged thereby. <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC <br /> WATER PLAN INNG SIGNATURE OF APPUCANI <br /> X'" <br /> STREET 7 <br /> DRESS <br /> & IT �iL�-ac. 9033 <br /> 17 '� IIP <br /> APPROVED NS I 7 DA f el /y .! Q(f ./. <br /> � <br /> p TELEPHONE NUMBER Y ALTERNATE <br /> rrl '..)� ,I VV� V I <br /> A NSTRUCTED L DATE DATE <br /> CONSTRUCTION/AS BUILT FIE 1978 <br /> I <br />