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' . - � � _�- .../-.Oy2_ <br /> everetl <br /> -`Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> ♦' Type or print clearly witn ink <br /> PRESS HARD- YOU ARE MAKING COPIES ! <br /> PUBLIC WORKS - I <br /> EVERETT,WASHINGTOtJ PERMIT NO. � I - �'I Z � <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: Q `cX c-+- .Ja�eY ��, �`� a 1.�_ �v.�t <br /> HEREBY APPLIES FOR PERMISSION TO � a-� v �C W 'Fc. y `- �S A �r`T S V�� p L Lc,l7 <br /> i <br /> AT THE FOLLOWING LOCATION �� � � G � �h1 W o � c� I V V e,i <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> I <br /> � <br /> i <br /> I <br /> I <br /> DRIVEWAY SECTION I <br /> PERMIT IS VALID FOR 60 DAYS {� � <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED �� � i" LIP <br /> ON JOBSITE. I � <br /> CALL FOR INSPECTION 259-881 1 I'•3o'�T� �T 30" � <br /> 24 HOURS BEFORE CONSTRl1CTION 7ho undereigne0 owner heraby agrees to hola and save harmless <br /> Ihe City ol Everett Irom any and all claims �or tlamages, cosls. <br /> evpenses.or causes ol attion Ih,t may arise because ol InStallaUon <br /> and maintenance of Ihe improvemenl or other nghLobway use <br /> herelo appbetl br antl lurther ag�ees to remove same upon nobce <br /> Irom Ihe City anE Io replace pub6c property tlnmagetl Ihere�g I <br /> DEPARTMENT APPROVALS <br /> I <br /> I <br /> SEWER COMMUNICATIONS I <br /> DRAIN'GE-; :''I �.:. ^ •.1 f.;1' ti�. . TRAFFIC � \C� I <br /> � i _ �I ' " I ��� I <br /> WATER� ' L'_ IpNNING SiGNAi PE OF qPPL�C/+Ni i <br /> , �.. <br /> 1591 "t._ � �ti < �. �n�, I <br /> STREET ,-.r� .. %7"� -- — ADDRE 5 I <br /> _ _, (�\��,,.,��S1 `M`A K��. q Q o 3 C, <br /> 1.... �' �r'�I.: CI1Y LIP <br /> r ` -.� � N ^ �J ^ p L1 <br /> APPN/ �� , �r.-.� .�it'I::'�� � 1 I"� — � 1 1� � l �' � �� <br /> C � / ifLEPHON[NUAIpFR Al1EiiNAtC <br /> i/ <br />