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, `�- t ~ - _ �I <br />���,� PERMIT - <br />APPLICATION FOR RIGFiT-OF-WAY U$E <br />� TYPe or Print clearly with ink . � <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT NO.�� <br />EVERETT, WASHINGTON , <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />��s �v� T'y S t <br />AT THE FOLLOWING LOCATION <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 />CA 44 HOURS BE ORE CONS RUCTION '' <br />SEWER <br />OflAIHAGE <br />WATEF <br />DEPARTMENT APPROVALS <br />COMMUNICATi0N5 <br />`J„ , W , <br />DRIVEWAY SECTION <br />: <br />�_ <br />+I'� L�P <br />� 30' I i 30 � <br />The undersiBned owner hereEy agrees lo holtl end seva hermless <br />tha Ciry of Everell.lrom any antl all claims lor demages, costs. . <br />�¢.penses. or causes ol ection iha� may arise because o� installetio� <br />anG mai��ena�ce ol ihe imOrovemenl or other nghPof-way use <br />Irom��PPCrtY aodalo repaceaPublc1D� venY aamagea Ine�eby. <br />�RPFFI-- . . . `,'.Y� (;:-R+: <br />,�I . "'.i:IJ���1 � <br />SiG� <br />PLANNING . . . .. ...... .'...••.� <br />; <br />� `r' .L iY. _4. � '\ <br />_, l . . � .� i i:1(i -��RESS � � � " _" <br />� '����� ��,_� �� <br />STREEI ' � I LL l ��/ `' . <br />� ' �I ZIP <br />��.A t � 7//� I .� 'GIT�� <br />�/��,—�.r / C�� I' <br />� L ':�� .G�_(.�.0 "il i o9'rE;_ 7 i,� <br />' ALTERNAiE <br />APPROVEDFOR , S1NU�.�iGN `� - . , fELEPHONENUMBER <br />pPl[ <br />DATE <br />qpPROVED AS CONSTRUCTED 1978 <br />. _ _ ' ' _.. �---- <br />