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everett APpLICATION F�R RIGHT-OF-WAY USE PERMIT <br />� TYPe or print clearly with mk <br />Ff�ESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT NO.��= <br />EVERETT, WASHINGTON � � <br />��,J�/ ?�L%lc.a"Z )�.n l7 _ J�� --�1 <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:_�"i.l ��-- <br />.. �r�/ �:-� � . ,... !ii A <br />HEREBY APPLIES FOR PERMISSION TO <br />AT THE FOLLOWING LOCATION _ � G O Z _ F�/'I � V� -- <br />DRAWING (WORK TO BE DONE) OR THREE PLAN!'i ATTACHED: <br />S,,�o �vi�<<r <br />����� �tf�"'�� � <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR IINSPECTION 259-851 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />ppAINAGE <br />WqTER <br />STPEET <br />DEPARTMENT APPROVALS <br />GOMMUNIL! ilONS <br />TRAFiIG <br />PLPNNING <br />�Jiii �Jf�" '� �Z% �.0 � _, <br />qp�PTVED Pf1R CONSTRUGTION dnTE <br />/ <br />qpPfiOVEO AS CONSTRUCTEO ���� <br />CUSTOMER <br />DRIVEWQY SECTION <br />�� jl'� LIP <br />i �30„ I <br />30' � <br />7he untlersigned owner �ereby egrees lo ho10 end seve �armless <br />Ihn Cily oi Evereq Irom any end nll claims lor Eamn9e5, cocts. <br />ezpenses. or causes ol action Ihet may anse because ol instaii:d�on <br />antl mamienanCe ol Ihe imprOvemeni orolher nght-ol-way osc <br />�me�o applie0 br an0 lurther ag�ees to remove snme uDon notmu <br />Irom Ihe C�ly antl to �eplace puDlic propetly tlamageE Ihereby <br />.��� -��� � - <br />TELEPMON NUM�ER A�1ERN�TE <br />`"i% L/ ���-� - - <br />On1E <br />