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� I everen <br /> � AP4�LICATION FOR RIGHT-OF-WAY USE PERMIT � <br /> I Type or print clearly with mk I <br /> PRESS HARD - YOU ARE MAKING COPIES I ��` <br /> PUBLIC WORKS -� <br /> EVERETT.WASHINGTON <br /> I IPERMIT NO. �ko���•; <br /> nPPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:,�p i�,_���� � /� <br /> �- •�\u��A���/( • <br /> I HEREBY AppLIES FOR PERMISSION TO�EM OLf S I-1 /�([ � <br /> P�rI� F'r Co�vS /?t.�c7 NEw GR2fi oE <br /> -� F,_ �r+�'�l.� P�n � Sc�ti,i n, c. Q� <br /> ATTHEFOLLOWINGLCCATION S�Z C�POWnI �21UE �t��p�-t^r L(jq � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> r�' <br /> � <br /> I <br /> �i � <br /> • I <br /> � <br /> I <br /> � <br /> �` I <br /> s:,� i <br />'a`� � i <br /> I <br /> I <br /> DRIVEWAY SECTION I <br /> PERMIT IS VALID FOR 60 DAYS � � j <br /> I COPY OF THIS APPLICATION TO BE POSTED <br /> '� ON JOBSITE. ii" LIP --�� � <br /> CALL FOR INSPECTION 259-881 1 I_3o",I� 1�30" � <br /> 24 HOURS BEFORE CONSTRUCTION �� <br /> The undersigned owner hereby aprees to holtl entl 5ave hnrmless I <br /> I�e City ol Evmetl from nny Antl all cleims lor damages. costs. <br /> eepenses,or causes ol ection Ihat may arise 6ecause ol mstallneon i <br /> antl ma.itenan�e ol Ihe imprnvement or ot�er nq�pob�vay usc <br /> herelo appbetl lor entl lur�her agrecs to remove samc upon nohce i <br /> DEPn9TMENT APPROVALS Irom �ne Ciiy and b replace pubhc proper�y Gnmaged mweby, I <br /> SEWER COMMUNiCATIONS !� <br /> � ORAINAGE TqqFFlL `� i <br /> �'4 <br /> ��ATER PLANNING ` � <br /> SIGNAiU -Of APC�iCaNi~ <br /> I STREET _�U�1 I O � Z��n��✓E S �/� �� <br /> AODAE55 <br /> ! N' ��,QoC 9�z7z <br /> I APPROVED FO CONS RUCTION �//�/Q� ��tv zu' '. <br /> � � E f' �Zsy . <br /> I - ^��� TEL6 cNUh�BER n��C�i4alC � <br /> � � a - �- go <br /> ; _ v,� <br /> i APPROVED AS CONSTRUCTED pqi� .��^�h�;�r:;.. I <br /> OATE I <br /> I � <br /> CONSTRUCTIOP!/AS BUILT ,EE .• I <br /> _ � -- . -- - ,% : <br />