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', everetl � - � <br /> , APPLICATION FOR RIGHT-OF-WAY USE PERMIT ��� <br /> �i � Type or print clearly wrth mk . <br /> � PRESS HARD -YOU ARE MAKING COPIES <br /> I PUOLIC WORKS (// � <br /> ' EVEFETT,WASHINGTON PERMIT NO. � <br /> I <br /> � APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED,IF ANY: <br /> I <br /> I HEREBY APPLIES FOR PERMISSION TO_ <br /> I, L / <br /> I AT THE FOLLOWING LOCATION '7� �� �d //J �/ /�� �P <br /> I DRAWING (WORK TO BE DONE) OR TNREE PLANS ATTACHED: <br /> I � J���� ��` `JI � �� — � �r/� <br /> I � , � . <br /> �,���?�,�,�-� <�� y �a-� C',a-�-�-d- �° <br /> I <br /> i i <br /> � <br /> � , <br /> , <br /> � I <br /> i <br /> � � <br /> � <br /> li DRiVEWAY SECTION <br /> I PERMIT IS V/lLID FOR 60 DAYS � --..I <br /> I <br /> � COPY OF THIS APPLICATION TO BE POSTED I i" LIP i <br /> ON JOBSITE. I 30�� _(_30" <br /> �� CALL FOR INSPECTION 259-581 1 I' I <br /> � 24 HOURS BEFORE CONSTRUCTION '� <br /> � <br /> I T�e undersiBned owner �ereDy egrees lo �olA and eave harmiese <br /> the City o� Everett Irom any anA all cleims ror dnmaBes. cosle. <br /> Iexpen5es,or causes ol actio�Ihat may anse because ol mslatlehon . <br /> I an0 maintenanpe ol Ihe improvement or other righ6oLway use <br /> herelo 3{�pbeG Ibf entl IurUw/agreeSlo remove same opon nohCe <br /> Irom (fie Gty an�'t0 reD�ace pubbc O�oOerty Oamegetl IhereEy. <br /> DEPARTMENT APPROVALS I <br /> SE W ER COMMUNICII�OHS <br /> IpqAINAGE iR�FiIC ��� I <br /> W�TEq PLANNING SiGNNiUNE �A'�/iCnNT li <br /> _ __ . . .. ��Q (�ll� , <br /> sreEEi . . ._._ . . ��� -�-..� nooness _" <br /> � ..`\\ �,� Gli�� ZIP I <br /> ��U I <br /> I RTE ..C <br /> PPROYED FOR CONSTRUCTION :, <br /> A , �'�'J �l <br /> �` TELCPMONE NIJM�ER 4LTEFt1RTE <br /> ' � /� � �d � l Z-l C�- `�-`Z i <br /> Qv o ns coNs Au o o e �"TE I <br /> I ` ' _ CONSTRUCTION/AS BUILT rEe 7g78 � <br />