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iererelt <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> vType or print cleerly with mh <br /> PRESS HARD-YOU ARE MAKIMG COPIES <br /> PUBLIC WORKS �j� �/ <br /> EVERETT,WASHINGTON PERMIT NO. u � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED. IF ANY: <br /> f � �"', _ -1� <br /> HEREBY APPLIES FOR PERMISSION TO _'-�- � /� �+"�F� �� I��-�f-'��`^C..P <br /> 7I�� i� .l./�'i �: : c_ l.r� ,^..LL ' -_ � ,,;�;._�L �'__�/r � <br /> AT THE FOLLOWING LOCATION_ �� l y � 11.L-`�� �4� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�„ . <br />� <br />,l <br />� <br />� <br /> � <br />� ' <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS � � <br />' COPY OF THIS APPUCATION TO BE POSTED � +i�� LIP J� <br />, ON JOBSITE. 30" _ ____�30" <br />� CALL FOR INSPECTIaN 259-�B 1 1 <br />, 24 HOURS BfFORE CONSTRUCTION The un0eisipneC owner here�y egrees to ho10 end save harmless <br />� Ihe Cily ol Everetl Iroin eny and all rlaims lor damages, co51s, <br />;h eapenses.or causes oi action ihat may anse beceu6e ol�nstallalion <br /> an0 maintenence of t�e �mprovement or other nght-ol-way use <br />� hereto apphe0 Im nn0 lur�l�er agree9 to remove 5ame upon nobce <br /> Irom Ihe C�ty and to replace pub6c propeity tlamaye0 fiereby. <br /> I DEPARTMENT APPfiOVAIS <br /> SEWER LOMMUMGATiONS <br /> I OM�NAGE TR4!f IC � , <br /> ' . � . /.%.,. <br />� VlaTER PLBNNING SiGNAiURE O!APPIIGNT <br /> $TREET i . • � . l ��� <br /> ADDflE55 <br /> ��// 1 � � <br /> J� / 7 � �) <br /> �\ V� � ��-(..��" _ ` � _.�C� GITv � ZIP <br /> APPRpVED FOR C STR CTION DAiE O <br /> � <br /> TELEPMONE yUMBER qUERN�tE <br /> f� <br /> � APPFDVE�AS CONSiAUCTE(1 �nrC Dnit <br />