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----- - -- � . _. �. - �.. _ <br /> 1� � I <br /> ,� I/ II' ��IjS �. <br /> •; �ver�'ft. �: l j :;; <br /> � APPLICATION FOR RIGF#T-OF-WAY USE PERMIT <br /> Type or print cleariy with ink <br /> -�- �- PRESS HARD - YOU ARe MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,NIASHINGI'ON PERMITNO.� '� � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPFiESENTED, IF ANY: _ <br /> i / �HEREBY APPLIES FOR PERMISSION TO �� �� �%�S ��G�C�T �J �/G'��JrSP��G� <br /> ATTHEFOLLOWINGLOCATION_['X %�� ���J�I�/� ���/� . <br /> DRAWING (WORK TO BE DONE) OR T:;n�� PLANS ATTACHED: <br /> �, ��P�2.`� <br /> ��2Ui�.�-�' J�2' , i/�/5�7� <br /> �:7�' <br /> � <br /> �`GV 15 j,r.;; <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED �—+ I" LIP �� <br /> ON JOBSITE. � 3 <br /> CALL FOR INSPECTION 259-881 1 I�� T _L3o� <br /> 24 HOURS BEFORE CONSTRUCTION rne undersiqnea owner hereby a�rees to hola and save harmless <br /> �he Ciry ol EverMl irom any antl all claims for damages, costs. � <br /> expenses,or causes o�action tha�may anse because ol inslallation <br /> an� mainienance oi �he improvemenl or oihur righ4oi-way use <br /> heretu apphetl lor antl (uriher agreCs to remove same upon nohce <br /> Irom �he City ana �o replace pubbc properly damagetl thereDy. <br /> DEPARTMENT APPROVALS <br /> SEWER ' COMMUNiCFiiONS <br /> DRAIN!GE TR�f qC <br /> I n + / l <br /> �f�J`�.3�.1�!'tir-1 � � 1 u+":�� <br /> WATEP PLANNING SiGN�tU�E OF AVPUCANL <br /> XU �� \ � � . �A _ � <br /> „ �, ,, . c, L ,. � v � <br /> SiFEET ADDaE55 <br /> • ��< \ � v' ' � t " � � _ <br /> CITY� LP <br /> APPFOVEO FOH CONSTRUCTION �nlE � :� _ 2 '>, �I � ti y- j l� 4� L� <br /> . iF.LE�NONE NUMp[Rl A�iERNAiE <br /> 1 � - A'--. — -� k'7 <br /> I APPFOVED A$CONSTRUCTED DAiE DaiE <br /> I . . . , . ._..._ . � <br /> ' t[E �9�8 <br />