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( � • . �- <br /> ,L��� rt.n«LC.�� g�/9 <br /> i ' <br /> i everetl <br /> ' � APPLICATIrJN FOR RIGHT-OF-WAY USE PERMIT <br /> Type-or print Geady'with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> iPUBLIC WORKS �� / `� <br /> EVERETT,WASHINGTON PERMIT N d <br /> �i APPLICANT (UNDERSIGNED)ANO FIRM REPRESENTED,IF ANY: <br /> � � �L.. <br /> I �I,,�� �� - � /,,, /'� <br /> HEREBY APPLIES FOH PEFlMISSION TO �Tr'�"`�'� � / �"Zy��� `"""'� C�" <br /> i <br /> I � i i <br /> AT THE FOLLOWING LOCATION� ��I � l _j�4�C.�' .�� � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> r <br /> , <br /> I <br /> •1 <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS �_ � <br /> COPY OF THIS APPLICATION TO BE POSTED I" �IP <br /> ON JOBSITE. �,30" I � _L3o" <br /> CALL FOR INSPEGTION 259-881 1 T <br /> 24 HOURS BEFORE CONSTRUCTION The untlersigned owner here�y egrees ta holG end aeve hermless ' <br /> Ihe Cily ol Everett Irom any anE ell cla�ms lor demages. cos�s, <br /> e�venses.or causes ol ution Ihet mxy�rue 6ecause ol installeUon <br /> and memtenance o� the impmvemenl or olhe� nghl-ol-way use <br /> haelo upl���ed lor an0 hnll�er agrees lu remuve same uVvn nohce <br /> Irom IM1e Cily anG to repiace publiC property tlamage0 Ihere�y. <br /> DF.PAfiTMENT APPROVALS <br /> SEWER COMMUNICRT�ONS <br /> C.iAINRGE � TPALFlC �. �\ I\\\ \1 <br /> �V ��V <br /> w ar,., <br /> WA'W PLANNING 1iGN�Tl1Pf rO`( APP �(IT1 C_ i ^' <br />' � V�, 1/�Vti l�\ �' 1 '1'� � <br />� STNEET p AES$ ' <br /> � <br /> � �_�`jl '. �c ��e.�, �h- �y Y 2 0 / <br /> � lC v CITY ZIP <br /> lJ <br /> P OVEDFORG Tf� .TION oni[ vJ �r� ��L�'� , <br /> , 1ELEVNON[NUAIBEH AU[RNPiE <br /> l . ,,,,,,.�_= z r �H..�� C - / v - s o _ <br /> . ,��,� �� u -- ----- _ - ,,,, <br />