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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY �' I YlQ <br />HEREBY APPLIES FOR PERMISSION TO �u y <br />AT THE FOLLOWING LOCATION In's / <br />DRAWING (WORK TO BE DONE) OR THREE t-LANb A I I ACHED: <br />(� c+ acc ss Lot, , <br />�/mt. <br />CQLvSIvuc--' e'SkCY¢iP <br />\J <br />s/c6 1OIA <br />11JUIIC <br />Suf r6VNClt%.-IG P061,C <br />'f 1t.Q kNOkVwywl <br />'Slat, w11( <br />21ACVOa <br />Ck ✓P0A <br />W6-4eV <br />PERMIT NO. <br />Va (Vf, , 011-v IJ�Wi �l <br />L f r afpro�� Ir/(".I <br />C,0 c ac�I {Or <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 />�G�,0 _ �� �y SHnr b'� <br />A / AS�IG�CONSTR E pAJE <br />CONSTRUCTION/AS QUILT <br />DRIVEWAY SECTION <br />I <br />j I" LIP <br />The undersigned owner hereby agrees to hold and save harmless <br />the City of Everett from any and all clalmt for damages, costs. <br />,,.penesor causes of action that may Anse because of Installation <br />and reamtenarnce of the improvement or other lightof-way use <br />nrreto applied for and further agrees to remove %time upon notice <br />hum the City and la replace public property damaged thereby <br />