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- . <br /> , _ _. <br /> I `• <br /> .-i i�+f:- <br /> IZverrtt <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with inh <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS � <br /> EVERETT,WASH�NGTON PERMIT NO. <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRES�NTED, IF ANY:�C/ahlqYN CI.�S l/ LY�. ��1^� C J _iN C • <br /> I � �- l L �a � �.�� � ,� k�"�. <br /> � HEREBY APPLIES ;OR PERMISSION TO ��S �^ <br /> I <br /> AT THE FOLLOWING LOCATION '7 2- � I C r C=f C C-' � V P <br /> DRAWING (WORY TO BE DONE) OR THREE PLANS ATTACHED: <br /> / �� /it � N " . '� �C=/�'Y�,1� <br /> �D �/ <br /> �,.r.� � ,�x����p <br /> � <br /> � <br /> v`1`�ti�� <br /> ��� � <br /> DRIVEWAY SECTION <br /> ERMIT IS VALID FOR 60 DAYS � � <br /> COPY S APPLICATION T OSTED �" �Ip <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-681 1 � 30" � ��30"� <br /> 24 HOURS BEFORE CONSTRUCTION Tho un0ersigned owner hereby ngrees to holtl entl save harmless ' <br /> tha City al Everelt Irom any antl nll UeimS lar demnges, tosls, <br /> eapenses,or ceuses ol nclion IhAt may anse because ol mstallAlion <br /> antl mamlenance ol I�e improvement or olher ngh4ol-way use <br /> herelo aOP��ed lor nn0 lurther agrees Io remove same upon nobce <br /> IrOm Ihe City antl to replace Dubho p�openy Eamagetl Ihereby. <br /> DEPARTMENT APPROVALS <br /> - - <br /> SEWER GOMM At10NS � �L� <br /> JQ� \ <br /> DRAINAGE TRFFFlC _ !�, <br /> WRTER �LANNI SIGNR EO�/PPLI �7 <br /> � / ) �J II <br /> STREET AODRES � ^ U X I 7 T / <br /> / 7� ,�v G Y C.� G✓/.� • / �Z�/ G I <br /> arr zir <br /> AF' ED FOR CONSuI CTIC o�n E�— � <br /> TELE�MONE NUhIpER ALIE�NAiC <br /> AVFAOVFC.1ti('nV`:tnU('lE�� __- i,n'� -- nar[ <br />