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v \ <br /> . - � <br /> ' evereit I <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or print clearly with mk <br /> `� PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLtC woaKs PERMIT NO. �� �Z'`�� <br /> EVERETT,WASHINGTON A <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: // <br /> � HEREBY APPLIES FOR PERMISSION TO ( �� "P�'� , <br /> i I <br /> AT THE FOLLOWING LOCATION �.� L L�� ST — � <br /> 7—�S-d'C <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: �� <br /> I <br /> i � <br /> I <br /> � <br /> I I <br /> I <br /> I II <br /> I <br /> I <br /> . , <br /> I� �� <br /> � <br /> i <br /> , , DRIVEWAY SECTION I <br /> i <br /> % PERMIT IS VALID FOR 60 DAYS � ---� <br /> � COPY OF THIS APPUCATION TO BE POSTED i" �IP I <br /> I� ON JOBSITE. � 30' � �30" i I <br /> I CALL FOR INSPECTION 259-881 1 fi 't' � <br /> I 24 HOURS BEFORE CONSTRUCTION The un0ersigned owner hereby agrees to holC end save harmless I� <br /> �he City ol Everett Irom any antl all claims br tlamages. cos�s. I <br /> eapenses.or causes o�acdon t0at may anse because ol installnbon <br /> an0 muntena�ce ot Ihe �mprovement or othcr righl�ot-way use <br /> ;I �ereto aOP���d lor antl�urtner agrces to remove same upon notice �� <br /> IrOm Ine CAy �na lo �e0���e Oubbc p�operly aamage0 IhereCy. � <br /> i DEPARTMENT APPROVALS <br /> ISPYER COMM1IUNILATIONS <br /> / IDRAINAGE j .�. C � 1� � t�pr^' / <br /> �-� 'L � <br /> ' VLA NG $IGNAi R Oi/AP�F/LIC]ANi /J /,, I <br /> WAtER / li�// /f�J/W / � ' LV� I <br /> OEP7 /1 r �,.� __��_« <br /> ' ADD�iE55 y/� ./�s/ � <br /> li STREET �..... ...... �CG�_S��.I/�// / I. <br /> T?3 1+.3 _ _ 1 7 /y o ��rY z�v I <br /> � C��= ��G�� � <br /> �� APPROVEOF CONSTRU 19N� '' � 'ATE � I <br /> 'i I � tEIENHON[NUMAEA Al1E�NAtE <br /> f� ?7 -�/ _ _ � <br /> '� � Y / � �� I <br /> � � <br /> onic 'i <br /> � - 4PP�OVED nc CONSTNUGTEI� nn1E . <br />