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cvcrefl / <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 �(/L <br /> EVERETT. WASHINGTON '^' PERMIT NO. <br /> APPLICANT )UNDERSIGNED) AND FIRM REPRESENTED. IF ANY:-6 /4620! b,- lit. <br /> HEREBY APPLIES FOR PERMISSION TO G fJ.t./iy-rte - �C P-7- Ag / 'G�j f'T l <br /> AT THE FOLLOWING LOCATION (l E/ T <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS I _ <br /> COPY OF THIS APPLICATION TO BE POSTED I" LIP <br /> ON JO L ITE.FOR <br /> �3Or <br /> CALL FOR INSPECTION 259-881 1 -'T`- <br /> 24 HOURS 13EFORE CONSTRUCTION Tho undersigned owner hereby agrees to hold and save harmless <br /> P.0 City of Everett from any and all chime for damages, costs. <br /> r.penses.Or causes of action that may arise because of Installation <br /> and maintenance of The improvement or other nghl-of-way use <br /> hereto applied for and further agrees to remove same upon notice <br /> from the City and to replace public property damaged thereby, <br /> DEPARTMENT APPROVALS J <br /> f <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC <br /> / r,j• <br /> WATER PI AN—NI NG SIGNA .OEAPPLI6ANI L - <br /> STREET ADDRESS <br /> CITY 1 - I �,IP <br /> ROV FO NS TION DATE - 7 1 <br /> TELEPHONE NU BER AITERNAIE <br /> v 9-Vu I'L �7 J f <br /> A OVEIf AS CO STRUCRT EDDATE DATE <br /> CONSTRUCTION/AS BUILT FEE 1978 <br />