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Q <br />Cverett <br />Q APPLIi:ATION FOR RIGHT-OF-WAY USE PERt1AIT <br />`' Type or prinl Cleerly wi�h mk <br />PRESS HARD - YOU ARE MAKING COP�ES <br />PUB�IC WORKS <br />EVERETT, WASHINGI.. �: PERMIT NO. � D <br />APPLICANT (UNDERSIGNED) AND PIRM REPRESENTED, IF ANY: f1�iL�_ 1`�� .��J 1 � t�T r r T�G tiS <br />/ <br />HEREbY APPLIES FOA PEP.MISSIOM TO ��-.,�"-Y2J vT GG7 T:�.^ � v c.,,�-,�,-�,J <br />AT THE FOLLOWING :ACAlIO�: __5. V.� O Z C /,��L � V�L <br />DRAWING (WORK i'O BE DONE) OR TFlREE PLAN$ ATTACHED: <br />CONDITIONS: <br />1. <br />2. <br />That portion of driveway within the right of way muat <br />be paved. <br />Driveway to have 12" cnncrete rubber gaeket pipe under ditch <br />croeaing. <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR ENSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DRAINAGE <br />WATER <br />STREET <br />DEPARTMENT APPROVALS <br />COMMUwCATI0N5 <br />PL4NNING <br />DRIVEWAY SECTION <br />� � <br />�f�� LIP <br />L 30" T 30" <br />i- <br />The untlersigr-.: owner herehy egrees to �olA and save hermless <br />Ihe City ol Everett Irom any antl all claims lor tlameges, costs. <br />eMpenses, or causes ol Tction Ihat may arise because ol insinllation <br />nn0 moinlenancC ol Ihe improvemeni or olher nghLol-way use <br />herelo appbetl lor antllurt�cr agrees to remove same upon noiice <br />/mm Ihe Gty an0 Io reDlate publ¢ properly OamagCd Ihereby. <br />r 1 � ' ` `�^i"'\ <br />URE OF APPLiClN <br />(� U • �C�,� I I � <br />nooaess ' <br />�: r,�)�-;'«T '7�=G� <br />�� /�v� 7,/Z' /�J/ GITY 21P <br />APPROVED F$R CONSTRUCTION ;,.' / olhE <br />/ / <br />�� <br />���/ ; ==' -/�'- b= <br />A S CONST UC ED OAtE <br />� � 2 <br />TELEFHONE UMBER A�iERNATE <br />� _ ; �� 8i <br />DniE <br />COI�STRUCTION;iAS BUILT <br />