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l��fet� APpLICATION FOR RIGHT-OF-WAY USE PERMiT <br />.� TyPe or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC woRKs pERMIT NO..YL1— <br />EVERETT, NtASHINGTON <br />APPLICANl (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY. �� K � r rLGSvN _ � � <br />l T SL\� CT C) ��� � A AA � 1 \/ <br />HEREBY APPLIES FOR PERMISSION TO � . <br />6 - � <br />�..,� . <br />AT THE FOLLOWING LOCATION <br />DRAWING (W(�RK TO BE DONE) OP THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 6t/ DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />AN JOBSITE. <br />CpLL FC9R INSPECTION 2:i9-861 1 <br />24 I10URS BEFORE CONSTRUCTION ,� <br />SEWEH <br />ORAIN�GE <br />WqTEF <br />DEPARTMENT APPROVALS <br />GOMMUNIf.ATIONS <br />TRAFF�C <br />PLFNNING <br />STREEt � ` <br />`C'.�-' r�J..1,t ` � b <br />p EO FOR CONSTRUC� N� D/ctE <br />� S ��/� � <br />qPPRO D S CONSTF7JC oniE <br />CONSTRUCTION/AS BUILT <br />yo'R�u� <br />DRIVEWAY SECTION <br />r---- -� <br />I'� LIP <br />30" � 30„ <br />The un�ersigned owner hereUy agrees to hold and save hermless <br />itre C�ry of E•�erell Imm any en0 ell cleims �or damegea, cos�s, <br />expenses, or causes ol actiun t�el may arise beceuse ol instellation <br />anG mamlenance ol lhe improveme�t or otnei nghl-ol-way use <br />�ereto aOP��ed br ana hrtther agrees to remov� same upon not¢e <br />Irom the Cily and lo reDlace pu��ic property damaged �hereby. <br />[/L( � � � <br />SIpNq�E Of PPPLICAM ' . <br />p __. � i <br />CG�li € /J �v.' /au L -` "� <br />ADCF[55 � �� <br />�vrf. 7T- %S�i4� �\ <br />C�iv ZiV �\ <br />3.5-4' /�� <br />PMONE NUMUER � ' ' ANERNATE <br />� onre <br />FEE 1978 <br />