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everen <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.Z <br />EVERETT. WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY: <br />HERESY APPLIES FOR PERMISSION TO CO NS 1 9-VQ % TAM ?QeA\'" WA EU )F- <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�Tlor-I oi- <br />r1TT- IIJG.S TO L�N►.�IcL� to ��5� ►tJG_ <br />J'/ , e <br />to G� <br />e <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-6e 1 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />ORAINAGE <br />WATER <br />STREET <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TRAFFIC <br />PLANNING <br />U I ATE <br />-7' VL <br />OVED AS O STRUC DATE <br />CONSTRUCTION/AS BUILT <br />DRIVEWAY SECTION <br />I" LIP -- <br />— —� <br />3o- 1 <br />The underMgned owner hereby agrees to hold and save harmless <br />the City of Everoit Iron any and all claims for damages. Costs. <br />expenses-. or causes of action that may art" because of instadalion <br />and maintenance of the improvement or other right-ol-way Lee <br />hereto applied for and further agrees to remove same upon notice <br />from the City and to apiece public property damaged thereby. <br />F F F 1978 <br />