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r <br /> � <br /> ^-' . _. � ... "VI� . <br /> everen �� <br /> � APPLICATION FOR R{GHT-OF-WAY USE 1�ERIVIIT <br /> Type or print clearly with ink <br /> PRESS HARD -YOU 4RE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGT�)N PERMIT NO..�_ <br /> APPLICANT (UNDEflSIGNED)AND FIRM REPRESENTED, IF ANY: U/M �� �U R`�_ _ <br /> HEREBY APPLIES FOR PERMISSION TO Cd�STUC � lS � �J�� P�%��_ <br /> AT THE FOLLOWINi3 LOCATION ��Y� /'L�N�� b� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> RP�/PDU/9G SLf,gJECT 70 PRL1b�aF��L.�/V��SHlP/�'/JDt,�'ECd7Yd/[J <br /> oF A couC�.v,t�T Pau�Ek a�'�17rdcQ�cltYF�� ti. <, !> <br /> a �� <br /> v � <br /> � � <br /> � �X ��P <br /> i ��,�` <br /> ��ce/ <br /> � <br /> � <br /> ,/ �3 .�� �� � � <br /> / ` ir — <br /> �f�, 1 � �o� � <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 6(� DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED ' <br /> ON JOBSITE. � i" LIP � <br /> CALL FOR INSPECTION 259-881 7 30" T 30"� <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to ho10 entl seve hermless � <br /> the City oi Everett Irom any and all claims lor tlama9es. cosis. <br /> ezpenses.or causes ol action Ihat may arise because ol installalion � <br /> antl maintenance ol Ihe �mprovement or other nghbol-viay use I <br /> hereto app6e4 lor antl Iuriher agrees to remove same upon nobce <br /> iwm Ihe Ctly antl to replace public pmperry damaged Ihereby, <br /> DEP A VA`LS� <br /> � <br /> ,. , . . . . . . . ��. . , <br /> SEWER ' COMMUNIGA IONS <br /> � <br /> DRRINAGE TqAFFlC ♦ , <br /> YIATER PLANNI SIG�R— EOFqPp�f � , �� <br /> � $O �I \ � �u�2�c� c. ` 1�.. Yt\ V -� <br /> ST ET AOORE55 <br /> o�°d� �?c►.r�� �'•,e Jz C �t4 W N. W t�a o � , <br /> I//7q/�� CITY ZIP � <br /> APPRa D FOR CONSTR ION DqT, 3 s'3 - a 33 y 3�'�'- 3 y y� <br /> - TELEPHONE NUMBER qLTEFNATE <br /> 1 �- 13-"7 � <br /> APPROVED AS CONSTPUCTED �nrE ontE <br /> CONSTRUCTION/AS BUILT ,EE ��78 I <br />