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, everrtl <br />� APPLICATION FOR RIGFlT-OF-WAY USE PERMIT <br />Type ar prinl clez� v with mk <br />. PRESS HARD - YOU ARE MAKING COPIES <br />PUBL�C WORKS <br />EVERETT, WASHINGTCN � � PERMIT NO.�_ <br />.�.-�— / � / <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: ! � � / . �J ��/�r_/7 'l. !7 !iIYT�6?F -, :-9 <br />r <br />HEREBY APPLIES FOR PERMISSION TO_ r � )'� ./^� .� � 1 .� % / .' / � /.-. /� <br />AT THE FOLLOWING LOCATIJN <br />, : i � .`) d f <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�'t' �O rd' \c%. o� �c ��� V e wa� . <br />w �J-�. , .� .�e 20 �, M. v�sT <br />s� e � c�,v c <br />C?f�Je�nra� � �ANc `C�, �O.n� <br />rwbb�- ��- � 1 1 I . <br />- �eZS i Pe.. �n�.cQer d��c.�. �(1,ssi�S <br />,� <br />V <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF TFiIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFGRE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />COMMUNICAliONS <br />ORAINAGE <br />WATER <br />APPROVED FOR CONSTRUCTION DATk <br />✓ct - O - i� <br />� ��� <br />OR�VEWAY SECTION <br />� i <br />I'� LIP <br />� 30" ,� � 30" <br />The untler5ignetl awner hereby egrees to holtl ontl savo harmless <br />the Clty ol Everelt Irom any anC oll cleims lor damnges. tosts. <br />edpenses. o� Causes ol ncli0n Ihai mey BnSe becTuse ol in5iallabOn <br />antl mainlenance ol Ihe improuvmenl m olher rig�4al-wny u5c <br />herCto applieA lor antl lutlher agrees to remove same uD�n nol¢e <br />Irom Ihe City antl lo replace pu0lic Oroperly Aamage0 Ihere�y. <br />.�,�Ji/t4 �/ � /`�1 � C � �— <br />CITv zip <br />-� � �/. . ��� r�• ) •. i <br />�[iEr��oN. r..u.iutn ,��:uwcn <br />