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��� i•eYe�en. APpLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � TYPe or Print cleady wrth mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUeuC'NORKS PERMIT NO.��� <br /> EVERETT,WASHINGTON / ,�_ �1 <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV: "V M �' "" �/��' " <br /> HEREBY APPLIES FOR PERMISSION TO L��STLIC � I S��L��!�pyJ1L r I <br /> AT THE POLLOWING LOCATION CX�I�/ �LO/��l�� �/�.-- <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> RP�RGUh'G SUkJECDT TD PR�lF"o�'UW���sr�iP�Nbc xc�dri��.� <br /> �F fJ CGUGAIJi��'lT PGGC)t=�C ��-��7o�,urYF�� �-� r. P. <br /> � � , <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � � <br /> COPY OF THIS APPLICATION TO BE POSTED � i" uP J <br /> ON JOBSITE. i <br /> CALL FOR INSPECTION 259-881 7 j'��—�� -L3o'� <br /> 24 HOURS BEFORE CONSTRUCTION 7he undersigned owner herehy og�ees to hold antl sava harmless <br /> the City ol Everetl Iwm any antl all Uaims br damages, costs, <br /> evpe�s 5.or tauses o�eC�ion Iha�may anse beCause ol inS�allaUon <br /> ano maintenance ol Ihe �mpmvement or otner righboLway use <br /> � � herelo appbed lo�and NrlhCr agrees Io remOVC SamC upOn nObce <br /> _ =_— _ irom !he City antl to replace pubhc properry damagea Ihereby, <br /> DEP �1�Ef4�i APPR9�ALS. . . , . , <br /> � _ � . , , � ,t . <br /> SEWER � COMMUMCn7i0N5 <br /> � � \ <br /> ORAINAGE TRAFFIC ' ^ l��V � ` ��.� C <br /> Ww ..�•� <br /> pL^NN� SiGN4TUPE OF�PPIICFNi ` \ � <br /> W AT E R� �U `1 \ � \ U h \ U C. � \�\ V '� <br /> / AOo�E55 <br /> siREEr `z y� �� i�� "tl � a-0 �J <br /> ` J f.yL G \� LiP <br /> ���n �77��������� ���,Y 3 <br /> � � 3��- 3 �lY� <br /> q?PR EDFORCONSTR ION DPT �/ � � �33 � p�1�qNniE <br /> iELEPMON[NUMD[q <br /> 1\- �-� -� � - <br /> pPPROVEDASCONSTRUCTEO <br /> oare onrE <br /> � f;GFERENCECOPY Fee t978 <br /> _ __ . ._°'�"_ <br />