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Ed] <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 PERMIT NO. O 00 <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: Z� S- <br />HEREBY APPLIES FOR PERMISSION TO Col3St C-UC.-1 I r M?cxe� <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />j ►� ST�L - /--n L) rJ o (= <br />(- I I- -\ 10 C. S TO <br />LJN"1cLk Ta <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWER <br />GnAINAGE <br />WATER <br />STREET — <br />COMMUNICATIONS <br />TRAFFIC <br />PLANNING <br />w A c-f F✓ LI ti F <br />DRIVEWAY SECTION <br />The undersigned owner here'ty agrees to hold and save herrofess <br />the City of Everett from any and all claims for damages. cost$, <br />expenses, or causes of action that may arise because of Installation <br />Ind maintenance of the Improvement or other fighDol way use <br />hereto applied for and lonher agrees to remove some upon notice <br />from the City and to replace public property damaged thereby. <br />