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El <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES E�- <br />PERMIT NO._i�z <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY. _]+'\OF�T �/����tvl /-- <br />HEREBY APPLIES FOR PERMISSION TO 2,da T-- T Z <br />XffMfTjMr4-* �, 1� T <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE D('NE) OR THREE PLANS ATTACHED: <br />SIT, S.F. <br />�2�qui�et� i�®�Pa✓�,�l�.U�s <br />z, P�uEiy .UJ' F.Qa/�f �u,�,agl/�tJt To �9f�,�� s�tcY�T�s' TRAW-5� 7-16 <br />To c x,s 7-/AJ67 �i9!/��1� •U T <br />3. M6 vi b.E �z''1J�QfI>nl 7-i1-,' rolag = <br />IPAUb -rope i-e, <br />// r / 11!5 T A&AF,.e 7T )-IAIK <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENTP.�rROVALS <br />DRIVEWAY SECTION <br />The Undersigned owner hereby agrees to hold and save harmless <br />The City of Everett from any and all claims for damages, costs. <br />expenses. or causes of action that may arise because of installation <br />and maintenance of the improvement or other right-of-way use <br />hereto applied for And further gorse- to remove same upon notice <br />Iron the City and to replace public property damaged thereby. <br />City zip <br />/ -3!r5- /JOO <br />TELEPHONE NUMBER ALTERNATE <br />1,2—?/ — 2? - <br />DATE <br />