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, <br /> I <br /> 4 <br /> I _ . . . . . - — I <br /> i _ `- • ' " - <br /> � il !Y!�!n <br /> I Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> I � Type or prmt clea�ry wdh mk <br /> � PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON r PERMIT NO. /�� <br /> � APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: /�[ � � '������ <br /> ( HEREBY APPLIES FOR PERMISSION TO���'Jdar�L� OW' S ' W/LQ/LlrL.����J � � <br /> • �� ' �! / a, ifA i <br /> AT THE FOLLOWING LOCATION /OOrv �OI�JI.a, `A�G�P/��{.—L. //Ll�� . <br /> t DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> � <br /> � I <br /> � <br /> { <br /> i <br /> � <br /> � � <br /> 1 , <br /> I ,) <br /> � <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS {� � <br /> I. <br /> ' COPY O� THIS APPLICATION TO BE��POSTED i^ ��p <br /> ON JOBSITE. � <br /> CALL FOR Si�S'rF'ECTION 259-681 1 �30'�� „��30" � <br /> 1 24 HUURS BEFORE .^.ONSTRUCTION ; <br /> 7 The un0ersignetl owner here6y egreea to holtl ana save haimless <br /> fhe City ol Fverett Irom any antl all claims tor tlamages, costs, <br /> eapenses.or causes ol acUon ihat mey arise Cecause ol msta�labon <br /> enE maintene�ce ol �he impwvemenl or olher rigno-o�-way use <br /> he�e�o npphetl lor anU lurlhcr agrces lo rernove same upon nolice <br /> Irom ihe Cily and to repiace OuOI¢ property tlemageE ihereby, <br /> ,( DEPARTMENT APPROVALS <br /> . <br /> SEWEA COMMUNiLITiONS � <br /> ONAINRGE Tpp`FfC !j'��yf.a4!/)IJ�.A�f�W <br /> � <br /> WRTER �LANNI'iG S�GNRTURE O,y�A�P,�VLICANnt <br /> � o�c7// /�'[Q�GGd�A.. <br /> STREET AD 55 l � -n ���� I <br /> til /(1 <br /> �s,�,�e: �"� :��S �D �.��... <br /> � ��,� aR .,a J�M <br /> P qOVED F R C J5T CTION o E ��"�b��� ��'�570� <br /> ' ` iELE�HON[NVMBER ALT[1iNAiE � <br /> 1% <br /> .�—/�-80 <br /> nrp ,v , SCONsr . � o>> u -,r <br />