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everen <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly wilh mk <br /> PRESS HARD - YOU ARE MAK�NG COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. ��/ J � <br /> APPLICANT(UNDEflSIGNED) AND FIRM REPRESENTED, IF ANY: �` �1/./ �I ��,•� :? � 1' :-J <br /> HEREBY APPUES FOR PERMISSION TO- C- R �. � + ' ."i � 7i' �� , � /, � �� �- <br /> AT THE POLIOWING LOCATION ' � ��--� ��� ': - � / .c ._/,c� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> .._..._. i <br /> �o�n'lctci- �kb�,� �tr��ce.s _Lns�ec�ar Onor ' <br /> a�nN worYF -�O � � � �Oe��h��H� <br /> � � . <br /> ea.e.V....,....�, .e:, C � <br /> eQSew. Pw{ 0.fC4 w.� �..� <br /> .0.rC0.: <br /> 1V'R'Gr' lhSa-e..1�0.��0.. m-� • <br /> c�r0.�:. ��.n 2 Q� �c.(�, <br /> � .y 4/���..�.^i�' tS <br /> rC,�o,�c,�t'�te I r� � ( 1 <br /> � fGi�tnrv� Gtf�,.- w, tn ease...�...�i- Z� <br /> or���.%i w� mr �etle✓ eo.�.�.� ie.. <br /> '—�_ <br /> pen5 I �' � <br /> fFl ' p �,o <br /> ✓ �� .�� ''` U �,,J �' � <br /> S� wl�� � ��a F �0'�5��J <br /> � <br /> ,� � en��o �Q e(��' <br /> ok �R b�,,� Q <br /> �°' <br /> � , <br /> ; <br /> � _- � <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID ROR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ONJOBSITE. gp�� _ �_30" � <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS F3EFORE CONSTRUCTION The untloisigne0 owner hereby agrees to hold antl savo harmless <br /> Ine Clty ol Everett Irom any and all claims br tlamages, rosis. <br /> expenses,or causes ol action Ihot may arise De[ause ol insta'lahon <br /> and mmnienance ol �he imp�ovement or other rig�t-ol-way use <br /> �ereio a0Pbe4 Ior antl luriher agmes to remove same upon nolicc <br /> irom tne Gty and lo rCplaCe puhlit propetly Aamaged ihcieby. <br /> DEPARTMENT APPROVALS <br /> SE1\ER COA1MUNiCRT10N5 <br /> Of1AINAGE TRAFFIC r�' � <br /> ; ,.-;��% <br /> � � <br /> NATER P�pNNING aNAi�URE/OFqP�(fCrtNi <br /> STREET �!.'/C!! G(r !.C'�� r�%� i,� <br /> nDDRE55 <br /> �/ Q/ ,,-y�- � / <br /> �Q*-'�L �/.� S/�� �' . -�-_ --___ <br /> qVPPOVE��f R( ^l.li1l��. -� . <br />