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� <br />lverefl <br />0 <br />� APPLI�CATION FOR RIGHT-OF-WAY USE PERMIT , <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS �7� <br />EVERETT, WASHINGTON PERIvIIT NO. � 3 <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION TO <br />AT THE FOLLOWING LOCATION 7�S I L� � T/y S/. S. W� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />� _ <br />DEPARTMENT APPROVALS <br />SEWER LOMMUNILrITIONS <br />ORAINAGE TRAfFiC . . - <br />. l'•: f..:'iTi.. <br />.. . . � _. �: �.•: : <br />,�..._.Ll <br />WATER .: PL/NNING - ' � � 5❑ <br />, ! . ...__....� <br />DRIVEWAY SECTION <br />� � <br />�1'� LIP <br />� 30'�� �� 30" i <br />The undarsipnaA owner hereby agreex to hold an0 save harmlass <br />the City ol Everelt �rom any en0 all claims lor damages, tosls. , <br />eapenses. or causes of action that may arise because ol installation <br />antl maintenance of Ind improvemenl or o�her nghl-of-way use <br />hereto applied for anA Iurihe� agrers lo remove same upon nolice <br />irom Ihn Ctly and lo replace pubbc property damagetl ihereby. <br />O�APPty 1CnNT �'` <br />{ . �'V��_�_rl <br />/ \ <br />� /' � i , � / �l- i/li� 1,'�/�/"�. �%�-;.� t ' <br />� J) <br />���� . 7. � 1: L .i �. '7� V 1 �f 7� ��� •�ITY ZIP <br />`r ) <br />�PPROVED FOR STRUCTION �gTE� . l i�'^ <br />"-� '—� � TELEFHONE NUMBER ALLERNFTE <br />APPROVED AS CONSTRUCTEO oarE oarE - <br />r'C�-rrrr.i�.,� i�Ui'':� vet <br />