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everett <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> �j Type or print clearly with Ink <br /> PRESS HARD - YOU ARE. MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON ^ PERMIT NO r . _ <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: 4L_� - -- <br /> HEREBY APPLIES FOR PERMISSION TO- <br /> AT <br /> O AT THE FOLLOWING LOCATION 2,1 /— `' '�' �E' ���L" �' �ZO� -- <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 l � t I" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-861 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> the City of Everett from any and nil claims for damagescoats, <br /> esoenses.or causes of action That may rinse because of mslellabon <br /> AM maintenance of the Improvement of other rlghl-ol-way use <br /> hereto applied for and further agrees to remove same upon notice <br /> from The City and to replace public property damsgvd Thereby. <br /> DEPARTMENTAP�'ROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAIE TRAFFIC <br /> � ✓J <br /> WATER PLANNING /IDNAt URE Or A EIUNt ,, <br /> -S ADDDD RESS <br /> / CITY IIP <br /> N <br /> A PP O NS RUCTION ----- I I DATE <br /> \ fELEPNONE HUMDER ALIERNME <br /> APD U T All DATE <br /> CONSTRUCTION/AS BUILT -FEE- 1978 <br />