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�1 <br />�; <br />rveretl <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT _ <br />� Type or p�int cleady with mti <br />_� PRESS HARD - YOU ARE MAKING COPIES <br />PU6LIC WORKS � Q <br />EVERETT, WASHINGTON PERMIT NO. � <br />APPLICANT (UNDERSIGNEO) AND FIFM REPRESENTED. IF ANY: - <br />HEREBY APPLIES FOR PERMISSION TO Y <br />AT THE FOILOWING LOCATION v I�� `--b' "� �� <br />a <br />`.� G=�.4-fl� <br />DRAWING (WORK TO BE DONE) OR THiiEE PLANS ATTACHED: <br />�},, F , _ . ':.- ' . ` /� � � V �`v�J- <br />/LtJ (�r'��, C �� ,��-e �!�-�t�i --;2, ,.: �_ . ;1� 1 V <br />f/ <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF T1iIS APPLICATION TO 8E POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-86 t 7 <br />24 HOURS BEFORE GONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWER GOMMUNIC�T�ONS . � <br />DRAtNAGE ip�F��� <br />W11TEP PL�NNINp <br />� <br />SiREET <br />� % <br />,' / - f;.,- /� <br />2.��� �i'�'' �� ;:`.�,V � <br />� Ai'PROVEDPO NST UCT�ON � <br />/ �/`f���,�/ <br />� OVLD AS CONSTf7UCTED" / [�AtE <br />CONSTRUCTION/AS BUILT <br />DRIVEWQI' SECTION <br />� � <br />I'� LIP <br />�30��30�� <br />The undersigned owner hereby agree9 lo hold enA seve hermless <br />Ihe Ciry ol Everelt irom any enA nll Uaims lor OemeBes. costs. <br />Gpenses, or teu6es ol ecbo� ihAt mey anse because ol installebon <br />an0 ma��lenence ol ��e improvemenl or olher nghLol-way use <br />hcreto apphoE b� end fuhhcr egrees to remove semc upon nol�Ce <br />Imm the Cdy end to replece Dublic DwOerty tlameged �hereby. <br />��� <br />�-��� <br />�� <br />�,� <br />