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everen <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cleerly wi�h ink <br /> PFESS HARD -YOU ARE MAKING COPIES <br /> PUBLIC WOPKS PERMIT NO. �'1 -- � <br /> EVERETT,WASHINGTON � <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPUES FOR PERMISSION TO . __. � _, <br /> �_ <br /> AT THE FOLLOWING LOCATION � � —" <br /> DRAWING (WORK 70 BE DONE) OR THREE PLANS ATTACHED: + <br /> ,�2G -�I� � �o�,�a z �, <br /> E� /Lg/�/ ( ��eGr � <br /> � \ °�1 <br /> I ��,.,k_�� <br /> ORIVEWQY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � --� <br /> COPY OF THIS APPLICATION TO BE POSTED � � i" LIP — <br /> ON JOBSITE. I 3�" ' 30" <br /> CALL FOR �NSPECTION 259-881 1 �� <br /> 24 HOURS BEFORE CONSTRUCTION 7ha un0ersigned owner here0y agrees to holA and sevo herinless <br /> Ihe City ol Everell Irom eny antl ell claims ior damage<. costs. <br /> e.pen5e5.cr C8USC5 OI Bciion Ihat may arise betause ol in5i011atio� <br /> antl mamtenance oi Ihe impmve��enl Or olher nghbo�onanolice � <br /> nerelo apphc0�or antl �urlher agrees to remo�e same up <br /> Irom Ihe Ciiy enG b replate �ub��t P�Opc�iy damagCG Ihe�eby. <br /> DEPARTMENT APPROVALS <br /> S�w�n coMn+urvicnnor+s -"• <br /> ' / <br /> � / \\ <br /> /1 �' <br /> TRAfFIC . /_,. �� ,./ . /. - <br /> DRRINAGE ,i � L�r- .... <br /> PLFNNING SIGH ff�UH[OF .�ICANT � <br /> WATER ��� i /-I -'.'�!_ / i _ ' <br /> .. r l./�i� �f� <br /> �1�: , I I ..! . 1 A DRE59 L� Fl • ��7vGJ� <br /> STNEET I .' �-i �. . . " . , � �� �'L'�_ <br /> , �� �� � <br /> _ :' .� :: / <br />