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everen aPpLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � TYPe or print clearly with ink <br /> PRESS HARD - YOU ARE t�1AKING COPIES <br /> PUBLIC WORKS PERMIT N0.2.�-,�� <br /> EVERETT,WASHINGTON }� <br /> , APFLICANT (UNDERSIGNED)AND FIRM RFPRESENTED. IF ANY: CJ����U ��I" t ,I Y//���� I <br /> � HEREBY APPLIES FOR PERMISSION TO �O�✓ � � ''�J C �. � � / � ��I��� � � � I I�<< �� <br /> AT THE FOLLOWING LOCATION o I 2� FIO r i J4 :J!�'• <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I / It D <br /> ��Y <br /> � � <br /> �Jl� <br /> �,�r <br /> . �Qr <br /> . � <br /> � <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FO�i 60 DAYS l�-- -� <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED I" LIP <br /> ON JOBSITE. gp�� I I_3o"_I <br /> CALL FOR INSPECTION 259-B81 1 't� <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby egrees to �old end save hermless <br /> � ihe City oi Everetl Irom any end ell cleims for dameges. costs. <br /> exDenses.or ceuses oi eclion thet may arise because ol inslellalion <br /> and mainlenance 01 the imOrovement or o�her rig�4o1-wey use <br /> hereto apPlieC lor anA furiher egrees to remove same upon nobce <br /> Iwm ihe City anE to replace pu�lic DroDerly tlamageG ihereby <br /> DEPARTMENT APPROVALS <br /> SEWER COMMI1MCAt10N5 / <br /> DRAINAGE TRPFFIC n - <br /> /V� �� ` ��� 1i <br /> WATEp PLANNING �GNR UAE OF APP,ICBNi 7 � <br /> � �I < 1 v l_%/�L�� f��� , <br /> nooAess <br /> STREET <br /> �/�l�t-k��Gt�151-1 - � 2�r�� I <br /> cirv zia �S�.i - '7/S'/ <br /> '�U� - 7�z� �� ., <br /> APPHOVED FOR CONSTRUCTION onrE C�X. � 2�' <br /> . TF.LEPHONE NUMBEA ALTERN/LE <br /> 1� � I ' ��� <br /> APPflOVED AS CONSTRUCTED �ntE DAIE <br /> �EE 1978 <br /> CUSl�O(�4GR <br /> !�-- <br />