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eVc��„ APpLICATION FOR RIGHT-OF-WAY USE PERMIT - <br />� TYPB OI PnN CI¢etty Wdh mk _ ' <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT NO. r�� � <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />` <br />HEREBY APPLIES FOR PERMISSION 70 <br />AT THE FOILOWING LOCATION <br />.! <br />�� �.f � <br />DRAWiNG (VfORK TO BE D(�NE) OR THREE PLANS ATTACHED: <br />r .��l � � `- - 1. f..� { :-G' - ':i � t � <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />ORmN4DE <br />DEPARTMENT APPROVALS <br />COMMUNIWilONS • <br />TRAFFlC <br />PLRNNiNG <br />�i ; . , . - • .� <br />14..� l� ' � '�" �c� r' " �' <br />p PROVED FOR C NS?NUCTION oniE <br />APPi70VED AS CONSTRUCTED OATE <br />REPERENCECOPY <br />DRIVEWAY SECTION <br />j I" LIP <br />� 30 � �IT'—�1 <br />The unAeraigneA owner hereby egrees to holE anC esve harmless <br />t�e Cily ot Everett Irom any end all cleims lor Oemagcs. cos:s. <br />eapenses. or cau4es ol flc�ion thal may prise because oi inslellabon <br />antl m3in1¢nOnCf 01 �hP, imprOv¢menl oi O�nCr Ii�h40t-wdy u6¢ <br />�ereto eppbeC lor an0 Imlhe� agrecs to �emovc seme upon not�ce <br />7rom Ib¢ Cily anG lo ieplace puEbc propei�Y dameBed Ihereby. <br />t <br />/, <br />�� %,��-+��� <br />! �'L-(f�/�1+�T/%7 . <br />�PIICA�IT ,�I <br />�_ / ;. ! /%, i <br />r/` �_ �// / l ��/1f J <br />�` � (/ `., <br />dTY 'i ._ / I�P- �/ <br />���' j ,�/ � ✓1—��-�7� <br />T[L�E NUMBER ALIEHNRLE <br />� /-� _ 'O <br />OnIE <br />1978 <br />