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cvercB <br />APPLICATION FOR RIGHT-OF—WAY USE PERMI? <br />Type or Print clearly :..,w ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PERMIT NO <br />PUBLIC WORKS , <br />f:VERETT, WASHINGTON <br />xPPLICANT (UNDERSIGNED! AND FIRM REPRESENTED, IF ANY n <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION--------- /` noM is E r <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FORGO DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-851 1 <br />24 HOURS BEFORE CONSTRUCTION <br />OHIVEWAY SECTION <br />Ir +I" LIP <br />30" <br />The undersigned owner hereby agrees to hold and save harmless <br />the City of Everett from any and all cls.ma for damages. costs. <br />expenses. or causes of action that may arlfa thn because t-lnsl Akily U e <br />and menleneace of the improvement er ," ame ebobwte <br />- notice <br />hereto applied <br />Gly and to furthand er agrees 1groparty damaged pthereby. <br />from <br />lob <br />— <br />�L3 <br />cily lA r �JL ljs / <br />at IIrN11TE <br />I'i1tWE NUMB) <br />BATE <br />E, <br />CONSTRUCTION/AS BUILT <br />