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evereft / <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with ink <br /> PRESS PARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT.WASHINGTON PERMIT NO. <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: '`���✓�/(.� /�G -- <br /> _ 1 <br /> HEREBY APPLIES FOR PERMISSION TOe-- <br /> 1"'T I-- L�.7FT <br /> o <br /> AT THE FOLLOWING LOCATION--- <br /> DRAWING <br /> _-_DRAWING (WORK TO BE �DONE) OR THREE PLANS ATTACHED: <br /> L <br /> 1 . <br /> i ' <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS ----- .J <br /> COPY OF THIS APPLICATION TO BE POSTED I" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby egress to hold and sere harmless <br /> the City of Everett from any and all claims for damages. Coale, <br /> expenses.or causes of action that may artse because of installation <br /> and maintenance of the improvement or other rlgheol-way the <br /> hereto applied lir Anil InIthe,agrees to remove same upon nonce <br /> from the City and to replace public property damaged meeoy <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS I <br /> — 45,GNA� O;F <br /> j0 ` 11DRAINAGE IRAFFILWATER PLANNING APPLICANT <br /> STREET ADDRESS I ) /f��C) <br /> LITy ZIP . <br /> R E F S 1 DATE ' <br /> IELEPHDNC NU HER <br /> AI ILRNAIC <br /> I 'L��if <br /> VE AS UCCE DATE PATE <br /> CONSTRUCTION/AS BUILT FEE 1978 <br />