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i - � <br /> ieveretl <br /> , � APPLICATION FOR RIGHI-OF-WAY USE PERMIT <br /> Type or print cleady wilh mk <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS ,.,. / � _ ^ <br /> EVERETT,WASHINGTON PERMIT NO.�1L_Ll� <br /> J ,/ � � <br /> APPLICAMT(UNDERSIGNE�)AND FIRM REPFESENTED, IF ANY:_. �}�� �I f✓_f� � 5 F � <br /> HEREBY APPLIES FOR PERMISSION TO �d�c./wJ r i T TO ,D p�a, ��J �( / �J r <br /> AT THE FOLLOWING LOCATION__ �o �� ��/1 S � G/. F.v.V <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> COtiDITI0N5• <br /> Public Services Inepector must be coniacted Prior to beginning any work, for <br /> exnminution of area witliin easement. <br /> AfAap installation of drain line and cutch basina�p�itaaIIt is reaponaible to returc� <br /> area within enaement to original or better cond n. <br /> Signa re of Applicant <br /> . I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. �30" _L30" <br /> i CALL FAR [NSPECTION 259-881 1 <br /> ' 24 HOURS 9EFORE CONSTRUCTION <br /> � The undersignnd awner hereby e8�ee5 lo holtl enJ:r�e harmless <br /> ihe City ol EvereU imm eny end all claims lor dameges. cos�s. <br /> e.penses,or causes ol nction Ihat may errse because ol inslollntion <br /> antl mnmlenance ol ihe improvement or o1�cr ngh4ol-way use <br /> herelo apphed lor antl lutlhcr agmes to remove same upon notme <br /> Irom ihe Cily anG to replace pubhc property tlamagod Ihereby. <br /> DEPARTMENT APPfiOVALS <br /> SEWER COMMUNIC/TIONS /I <br /> DRAINAGE TRAFFIC - / <br /> WATEP PLANNING FTURE P , i <br /> 8 ��o G�v S c ic c�'.�- <br /> STREET AODH[55 /, '�` '/ <br /> � � �, �y/�(�fT` ��'�-U 7` . <br /> I , �-/� f:ITv )it, . <br /> I nrr ove r�coNsr ucrieN -_ _ . _ 11_S��'/— - -� ., ,, _ �' �. ;',� � . - _ / ..` / i <br />