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� — . <br /> ���` . �• ,.. . .. � .. .' .� ... .. _ <br /> r�erett �#'- ?s�%/9/3 g <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cieady with ink <br /> � PRESS HARD--YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO..5'I- l`-1Z <br /> APPLICANT(UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: C�A��E'S P � NO� f( q'�e <br /> HEREBY APPLIES FOR PERMISSION TO �S E E X I S T I 1'V Es ('� V u) <br /> AT THE FOLLCWING LOCATION LI -1 O Z F'O IZtiG� v��)t; <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED �� +i" L�P <br /> ON JOBSITE. <br /> �_30" �_ 30" � <br /> CALL FOR INSPECTION 259-881 1 �—• �—� <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The untlersigned owner hereby egrees to holA ana save harmless <br /> Ihe Ciry ol Everelt Irom eny an0 all claims tor Cemeges, costs. <br /> expensPv,or causes ol aclion Ihal may arise because ol inslallation <br /> an0 maminnante ol �he impmvement or other righbol-way use <br /> hereto appLed br an0 lurt�er agrees to remove same upon nobc¢ <br /> Irom the Cily antl to replace OuDlic propeny tlamagetl thereby. <br /> DEPARTMENT APPqOVALS <br /> ir, , _' . .�l - --� <br /> SEWER � ' , � � CO�AMUNILA150Y5 <br /> � � <br /> DRRINAGE .. . iRAFFlC� ' — . <br /> ICPf ; <br /> WpTER PLANNING SIGNATUPE OF APPLICANt ` <br /> ............. _._. <br /> �..I...'`'-:',1 .- .1.i ..\' ..`� ...... � a ^� <br /> STNEET f1 <br /> .1-}��J iii�i.ri�„' :'iv�U�l AOONE55 <br /> //� /J E v E�L E�' v�ct , �(6(�,D 3 <br /> 1� /�'� �/ZO /X � LITY � ZIP <br /> APPROVED Ff7R CONS R CTION �A Z SS � 7Z 7G <br /> , / � FELEVHJNE NUMflER ALIFRNntE <br /> � <br />