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. �' SSG• <br /> PvcrM1 <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 PERMIT NO. 2--- <br /> EVERETT.WASHINGTON <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: ✓ �w 1`- - <br /> HEREBY APPLIES FOR PERMISSION TO i a <br /> 1 AT THE FOLLOWING LOCATION 2AL' S,E, E✓e.�Gs'�`Lt/b �a Z�� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> I <br /> I <br /> II <br /> I <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 Everell from any and all claims for damages, costs. <br /> expenses.or causes of action Inst may ante because of Installation <br /> and maintenance of the improvement or other light-oh way use <br /> hereto applied for and further agrees to remove same upon notice <br /> Irom The City and to replace public property damaged Inere Uy. <br /> DEPARTMENT APPROVALS <br /> ---��- COMMUNICA110M: <br /> WEA o <br /> DRAINAGE TRAFFIC 7 <br /> W,AT - PLANNING ONAIURE Oi APK,CANI <br /> ADDRESS <br /> 6TAEET ` <br /> L ✓ ( 21P <br /> dl <br /> CITY <br /> p ACID N. RU ION <br /> - •i IfnNArf <br />