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' — i <br /> Iev�rett "��� <br /> IQ APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> v Type or print clearly with ink <br /> PRESS HARD-YOU ARE MAKING COPIES <br /> •PUBLIC WORKS <br /> EVERETT, WASHINGTON PEFlMIT NO. �� �U � <br /> APPLICANT(UNDERSIGNEG)AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO I <br /> I <br /> AT THE FOLLOWING LOCATION r � 3 3 � � �l �' r c � �� �-7 <br /> �.�,.-ao /ask kv�ay � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED:� <br /> P1�, ��-°. ' c�,� �-�� 5-- � - �� <br /> � <br /> � �i� 0 - �,�,'a-� !�'�, ' �, �-e• `l �^-�� ��`�'�.�� C��.e`"�-- <br /> i <br /> '�-S � ��-r� <br /> � <br /> S w ; /l� <br /> ; r � � �P� .� <br /> � � rv e <br /> /r' f�e� o � <br /> ,S���l , / (�J�/" �nr��vr <br /> ��� ``� ��' "�� �'J � - <br /> � � �� � <br /> � <br /> -�� 6 �,�, �'� <br /> / . <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. I <br /> CALL FOR INSPECTION 2'.i9-891 1 I' 30'�} �T�3o"� <br /> 24 HOURS BEFORE CONSTRUCTION 7ha undersignee awnar hereby agrees to ho10 antl seve harmless <br /> the City of Everett Irom any ana ell claims for damages. costs. <br /> exp¢nses.or causes ol aclion t�at may arise because ol installalion <br /> antl maintenence ol Ihe improvement or othar ng��.ol-way use <br /> hereto applietl lor ana furlM1er agrees to remove same upon notice <br /> Irom Ihe Ctly anE to re0late public O�oDer�y �amage0 1�ereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COAIMUNICATIONS <br /> DRPINRGE TRAFFIC <br /> 4� <br /> WATEN P�ANN W G IGNATUNEO�NPPL���NN /J <br /> 7,�f�,s C1lJ/H' )�,��y� ✓ZQ�_ <br /> I STqEET AppRE55 � <br /> , ����t � t A9A �vei�J`t ��7�3 � <br /> ICiiv ZIP t I <br /> i PR VED FOR CON RU� ION oni - �S-`y� 6 �6 S �j--�� j�0��/ I <br /> Y <br /> TELfPMONf NUhIBER �l �.Li[qryql� <br /> ! � ::D ��/ � I <br /> I AFP VE A C S 7E% \ oPrE ppiEl� � _/D_ �v <br /> � y <br /> � <br />