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. . , <br />`1 ' <br />everetl <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� iype or print cleady wdh ink <br />�� PRESS HAND - YOU ARE MAKING COPIES <br />PUBLIC WORKS G <br />EVERETT, WASHINGTON PERMIT NO. a U � <br />APPLICANT (UNDERSIGNED) AND FIRM FEPRESENTED, IF ANV: �'r �� /`5 <br />HEREBV APPLIES FOR PERMISSION TO�Q�'� �' V �14�r G� v'%� <br />2 j /(1 � ro r, rirJ ��� <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO 8E DONE) OR THREE PLANS ATTACHED: �� �^ /—�e <br />�,e �.q,p.s /�`1qc�',�"� � L�9rr'1> 7-/ � d,Pis'/rtJ�E <br />6--�5 � f�.er'f� <br />�%il/�I/lS <br />b�'iYi�lf�l�� ��rPr�/ � /5 ftL,�,�.j1J�.�-- ul ![.c, E+�✓� <br />ca�,�.s �� y� r�,�,�oeuJ <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOPI INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DRIVEWAY SECTION <br />j I" LIP � <br />�30^ _I_30,� <br />T�e underaigne0 owner hereby egree� lo holtl nnd seve ha�miess <br />Ihe City ol Everett irom any and al4 Ueims tor demeges, costs. <br />erpenses, or ceuses ol action ihal may nrise because ol m5�ollation <br />an0 maintenance ollhe impmvemenl or olher righbobway use <br />hereio BppLea lor anE tutlher agrees lo remove sam¢ uDon nobce <br />Imm IDe City an0 lo replace puDhc property Oamagetl thereby. <br />r—_ l�` %� '>l—/�� �/�/�/ <br />CITY J / � 21P <br />1---� �. r='-%.�� <br />TELEPHONE N � ALiERNAiE <br />r <br />", .d u /� ��%7f! <br />�- --- -� <br />