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' <br /> .. .. '' l . nF T . <br /> �T.i_ <br /> f t � , � :.;�.: . ... . a'w` lg;:,;'1e'.7¢.: <br /> ievrren� -' <br /> Q APPLICATIAN FQR RIGHT-OF-WAY USE PERMIT <br /> b Type or p�inl cleedy wlth mk <br /> PRE55 HARD- YOU ARE MAKIN; COPlES <br /> PUBLIC WORKS � � /�/ <br /> EVERETT,WAS4INGTON PERMIT NO. �- <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED.IF ANV:_ <br /> IiEREBY APPLIES FOR PERMISSION TO <br /> � '__._ <br /> AT THE FOLLOWING LOCATION_��_��'��� <br /> DRA`NING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> � <br /> I <br /> I <br /> I <br /> DRIVEWAY SEC710N I <br /> PERMIT IS VALID FOR 6p DAYS � <br /> � , <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. I <br /> CALL FOR INSPECTION 259-881 1 r 30 7- I 30" <br /> I 24 HOURS BEFORE CONSTRUCTION <br /> The underslgnetl owner i�ereby agreea to ho10 an0 save harmless <br /> the Clly ol Everetl Imm any antl ait tlaima lor damages, rosls. <br /> e+penses.or causes ol aclion Ihat mey arise because ol installatipn <br /> I � an0 mT�ntrnanr.o ol Ihe impiovement or olher „gp�.ol-way use <br /> herela�8 �ed lor en0 Wrlher agreFs 10 remove seme upon nobce <br /> DEPARTMENT APPROVF�, �mm�m��1y a�a �o �eviace pubi�c propeny aamagea Ihereby. <br /> � � <br /> ; _�� <br /> ISEWER COMANNIUTIONS <br /> I pRRINRGE iRAFFlG .. I <br /> T <br /> .�1:.�%'' �'~--; <br /> W�TER (� pLANNIN� ' lo SIGNATURE OF APPLILRNI <br /> �jll♦ Q J <br /> srnee* �G02- /.^. 7�/ <br /> nooness <br /> S'/L'r'�Ir_ .M /SF� cJA y ;��SO <br /> ��r. .��, <br /> APPROVED FOR CONSTRUCTION OAtE _;�(_ �y`�/ l <br /> � / li �,'�_ � O . <br /> iHEP11ONr NUMpER �aLiLRNnlf <br /> — i <br />