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. ere�en ' <br />Q APPLICATION FOR RIGHT-OF-W,AY USE <br />v Type or print cle�rly with ink <br />PRESS HARD - YOU ARE MAKING CO?IES <br />PUBLIC WORKS <br />EVERETT, WASHINaTON <br />APPLICANT (UNDERS�uNED) AND FIRM REPRESENTED, IF AN.': <br />HEqEBY APPLIES FOR PERMISSION <br />AT THE FOLIOWING LOCATION 33 �3 %'P'�f'I�O � /`r (f �` <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�� <br />PERMIT <br />PERMIT NO. r ��b <br />\� <br />V��J ( ` <br />�� <br />�,� <br />PERMIT IS VALID FOR 60 DAYS <br />L� <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEq <br />ORAINnGE <br />DEPAHTMENT APPROVALS <br />COM6fUNICAilONS <br />PLANNING <br />S,fiEE. ,� <br />� �,, i - � � <br />A PR VED FOR O 5 UCTION OF1E <br />APPFOVEO AS CONSTRUCTED oA�E <br />co��asrr;ucrion�ins aui�r <br />DRIVEWAY SECTION <br />� � <br />� � �,� L�P � <br />L 30'�T� _l_ 30"� <br />i T <br />The undersigned owner hereby agrees to holtl anC save harmless <br />the City ol Everett Imm any antl all claims lor damages, costs. <br />expensei �r CauSes ol aqiOn Ih�� may anse �ecduse ol ins�allalion <br />dntl ma�nicnan-e ol Ihe improvemen� or oiher righ4ol-way use <br />M1ereto apphed for and turiner a9rees Icpremove sdme upon noliCe <br />ham Ihe Cily an� lo repiace pubLc property tlamagetl Ihere�y. <br />/ <br />�. /. <br />�j ` <br />���� 1 /i�� <br />� <br />�j,� � � � l��!'— _ <br />?$IGNAiURE OF r1PP�iLFN1 � � <br />��< < z �v�.c/cF�, <br />AODHE55 <br />— ,— �o,-� i ' � v�S <br />`� � <br />,� <br />��.� Z,� <br />2 � < ���G 7/ <br />TELEPnONE NUM1IBER qLIERNAiE <br />FEE 1978 <br />