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� <br /> ��lI�, AFPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> `vJ Type oi prinl clearly with ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUALIC WORKS - <br /> EVERETT, WASHINGTON PERMIT NO._2��� <br /> APPLICANT (UNDERSIGNED) AND FIRrA HEPRESENTED, IF ANY: <br /> HEREBY APpLiES FOR PERMISSION TO O R��) E W f4V � F F 'R l,�_� <br /> AT THE FOLLOWING LOCATION_ �O II �/�/GY Lh�J � p <br /> DRAWING (WORK TO BE D�NE) OR THREE PLANS ATTACHED: <br /> � .. . - <br /> L. - : __ <br /> F�::::;.;..:�.,t <br /> �•� MAR 11 RFr,'II <br /> DRIVEWAY SECTION <br /> PERMIT IS VALiD FOR 60 �AYS � _� <br /> COPY OF THfS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. <br /> ? CALL FOR INSPECTION 259-881 1 30';,� �30"� <br /> 24 HOURS BEFORE CONSTRUCTION The unAerSigneC owner hereby xgrees lo holC antl seve hermless <br /> I�e City ol Evorct� Irom any antl nll claim5 lor damages. cosls. <br /> e.penses.or causes o�acbon Inel may anse:xroause ol mstallabon <br /> antl maintenance ol ��e improvement or ot�er nghl�ol-way use <br /> � hereto applie� lor an0 luriher agrees to remove same u0on nobcc <br /> Ircm I�e Ciiy antl to replace pu�l¢ D/oPer�y p�maged Ine�eby <br /> DEPARTMENT APPROVALS <br /> SE W E�i �OMMUNiCATIONS <br /> pRA1NRCE TNAFRG <br /> I <br /> WATER pIANNING SiGN� URC OF AGPL RYl, <br /> STREET �d' 97H P`' <br /> AOOAESS <br /> �N.uK �t�Fo 4g2.7� <br /> Ciir bv <br /> APPROVED Fpq CONSTRUCTION DniE q �S � ,� .�� <br /> � `t J <br /> +�i i r�.::vr �nq.pEn ,.—.-- <br /> .__.. _.._.._... _ .___"___"__ _'_'".�..-...... "-....__..'_" ""� <br />