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91z� <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Typo or print clearly with Ink <br /> Ll <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON ,,77 PEHAI IT NO �— <br /> AFVLICANT (UNDERSIGNEUI AND c!AM REPRESENTED.IF ANY: Ut) L I�/Tt�/N //O/,-f r3 11V <br /> HEREBY <br /> HEREBY APPLIES FOR PERMISSION TO ,I NS74LL /7/ OI G��T T� ��✓y <br /> AT THE FOLLOWING LOCATION <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 1I'' LIP <br /> ON JOBSITE. 30•• 30 <br /> CALL FOR INSPECTION 259••881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and fave hermlees <br /> rhe City of Everell from any and all claims For damages. cost~. <br /> .pariahs.or Causes of action that may arae because of installation <br /> :_ entl maintenance of the Improvement or other ught•ol•way use <br /> hereto applied for and further agrees to remove same upon notice <br /> Nom the City and to replace public property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATION' / <br /> DRf INAGE TRAFFIC <br /> W1 TER PLANNING - EOF APPI <br /> y GAD!/ <br /> ADORE .� <br /> env zip <br /> I <br /> ZE <br /> Ns DAZE 5 a JEP 3rFLEPIIONE N IDEALTERNATESP5 - T DATE ' DATE <br /> CONSTRUCTION/AS D'IIL7 n — 1978 <br /> K' <br />