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ctvere„ <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print cleerly wilh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. � a <br />i <br />APPLICANT (UNDERSIGNED) AND PIRM REPRESENTED, IF ANY: r �' � [ �'��•+ 1 � t�T � � � �/ �- �G �.S <br />-- / <br />HEREBY APPLIES FOR PERMISSION TO��, -^^� --�`�J �T G� i.�•-�� v r.����tiJ <br />AT THE FOLLOWING LOCATION ��D D G._�yrfC_L ��L <br />DRAWING (WORK TO BE DONE) OR THREE PLAN$ AT'iACHED: <br />CONDITIONS: <br />That +�ortion of driveway withia the right of vay muat <br />be pu��ed. <br />2. Driveway to have 12" concrete rubber gaeket pipe under ditch <br />croseing. <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />GALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTFSUCTION <br />ORAIN�GE <br />WRTEfi <br />STNEET <br />DEPARTMENT APPROVALS <br />DRIVEWAY SECTION <br />� � <br />1" LIP <br />r30�� T. -�-30�� <br />The untlersl;ned owner �ereby egrees to hoitl en0 seve hermless <br />Ihe Ci1y oi Everetl Irom eny end ell cleims lor damages. cosls. <br />eapenses, or causes ol action that may arise Eecause ol installabon <br />antl mainlenanCe ol ihe �mr,mvemeni or other nghl-ol�way use <br />hereio app0e4 lor and lurthc� agree5 Io remove eame Upon not¢e <br />Irom Ihe Cny anC b re0�ace public pmDerry damaged t�ereny. <br />GOMMONICATiONS <br />� AY.� <br />TFAFFIC <br />� i <br />PLANNING UC:_ OF RFPLILAM <br />nU. �� 11� <br />nonness <br />� � L �l%,'_1 't `�� ���i'— `�' � <br />�G/'� �» 3�2 7 ��/ ciTv ziv -- <br />APPROVED F C CONS HUCTION .' D E -- .cr-1 Z <br />/ TELEPnO E UMOER !��EFNATE <br />..-� / : �.� /��Y ' �5'= �'/ a y R 1 <br />S WNST U ED Dn7E � oatE J <br />CONSTRUCTION/AS BUILT «E �g�g <br />