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— i <br /> I <br /> � <br /> evereA <br /> j Q APPI.ICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or print clearly wi�h ink <br /> �� PRESS HARD - YOU ARE M�KINC COPIES , <br /> PUBLIC WORKS � � <br /> EVE�ETT,WASHINGTON � PERMIT NO. 7�,) 9 <br /> APPUCANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: — ---- <br /> HEREBY APPLIES FOP. PERMISSION TO <br /> A T THE FOLLOWING LOCATION � O� 'l C O/�'J I79 F_ /� C / Q ( _—_ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> � ' <br /> � �/�L�vt,(�vh,tti^vt/ �Q � � v�,1, L c1"�`�� <br /> 'G, ,� oZ0 ��e� <br /> I <br /> DRIVEWAY SECTION <br /> � PERMIT IS VALID F063 6�7 DAYS l�--- --� I <br /> I <br /> COPY OF THIS APPLICATIUN TO BE POSTED �_ i" LIP <br /> ON JOBSITE. 30�� _�30" i <br /> j CALL FOR INSPECTIOi�f 259—IB81 1 <br /> � 24 HOURS BEFORE CONSTRUC'fION <br /> Thc untler5igne0 ownr;r hereby egrees�o ho10 and sava hormless I <br /> � Ihe Cily ol Evorett Imm nny antl all Clnims lor Oameges. costs, <br /> � expMses.or causes of aCtion Ihai mHy anse Decause ol install,ltion <br /> nnA mnintenance ol ihe �mprovement or olher nghl-ol-wny use <br /> herclo npP��etl lor anA Iuriher agiees Ic remove same upon noticc <br /> Irom Ihe CPy and to replace pu�l¢ p�o0erly �amagetl �hMeby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNIC/110NS <br /> iRAFGIC � '��/� <br /> DRPINAGE �a����/�l����`� <br /> (i / <br /> WATER � PLANNING S�GNATU�E OG PPPLICA�1 i <br /> I - 6�'3r ���fk /�/ itiE <br /> STREET � nDonE85 I <br /> 2� _f7"r9i7 �1X1�-� <br /> I / — zu- <br /> � �j Cir <br /> j v`- �P�.t (_�- a Z / .. � <br /> � - ' �... -- — .- i r,'-. .. . �r�_ �� � , <br /> t.� <br />