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^✓j - / � -2. `r <br />evereft <br />APPLICATION FOR RIGHT-OF-WAY USE <br />IT; ,, Pruil Oem" wdn in F. <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS • ' <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY <br />HEREBY APPLIES FOR PERMISSION <br />At 10 -Ill <br />AT THE FOLLOWING LOCATION�Q�_�J_�_�TG. L <br />DRAWING (WOhK TO PE DONE) OR THREE PLANS ATTACHED: <br />f'•` F+� <br />1 <br />190"Nalo 0r, <br />_ l-s+l'll <br />PERMIT <br />/10 <br />PERMIT NO. <br />�NSrR�L yy dF lZeCOACe <br />t F le - �/115Tlpll cAmr/ <br />T1469JES7- <br />Dd /A1 T —.5W,,jr AWAI <br />off T!J TOPaF <br />C/FV 07RR zE — <br />WrM aF iyal 61J <br />to, z R-o-aj re)'6:FW/AJ of <br />w <br />�' <br />yL q jud-s. DLO-11 Qlat N <br />IA157,00 0/ M&/T�/ r� <br />dt4'nS"o4 <br />Va/y � <br />_ 1 � T s � <br />�� s <br />PERMIT IS VALIV FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />A PRROVED AS CONSTRUCTED <br />DRIVEWAY SECTION <br />The undersigned owner hereby sprees to hold and save harmless <br />the City of Everett from any and all claims for Oamepety-CAsls <br />erpenses or causes of action that may ergs because of lnslsll•hon <br />end mamlenance of the improvement or other right-of-way use <br />herelo apphM for and further agrees to remove same upon notice <br />Irom for ply and to replace pututC property damaged thereby <br />ino llnF Or AP (I ANr <br />a <br />ADDUF ss <br />L'Try— top <br />'3- _floso 5 1 <br />rFLFPNONF NUMNFF1 Alrf nNAnNArt <br />DAY[ <br />, �. oolS$' ','rNGf <br />