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i , everefl � / <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT I v <br /> � TYPe or print clearly with ink <br /> I PRESS HARD - YOU ARE MAKING COPIES , � <br /> PUBLIC WORKS <br /> � EYERETT,WA�H:HGTCN PEFMIT Nl). �T� /L��. <br /> � // � <br /> I APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: ��,��,��rt�( / ��J . <br /> HEREBY APPLIES FOR PERMISSION TO_ ! �1JO ,P�,i✓1////�� �///J_/�,//�Vy/i, <br /> ��`�- <br /> I <br /> ATTHEFOL�OWINGLOCATION_,.3.[f4a LLr11 ST <br /> DRAWIIIG (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � 7-Is-� ' <br /> i I <br /> I iI , ORIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS {� � <br /> I <br /> COPY OF THIS APPUCATION TO BE POSTED �— � i�� LIP <br /> ON JOBSITE. L3o",� I 30'� i <br /> CALL FOR INSPECTION 259-861 1 r 't' <br /> 24 HOURS BEFORE CONSTRUCTION i <br /> The under5igneA owner �ere6y agrees to hold enU save harmless I <br /> Ihe City ol Everell irom eny and all cleims lor tlamages. Costs. <br /> ezpenses.or causes o1 aclion t�at may arise bewuse ol mslailatwn <br /> antl maintenante ol Ihe improvemenl or olher nghLol-way use <br /> hereto apP��etl lor and lurl�er agrees to remove same u0on nohce <br /> Irom Ihe Ciiy and 10 replace Oublic property Oamagetl Ihereby. <br /> DEPARTMENT APPROVALS i <br /> � <br /> SEWER COMMUNICATIONS <br /> (r^'r [� / <br /> I DRRINRGE 1 .r C (J � � [ R�F^1'i <br /> . ` v f � <br /> i <br /> I WATER p PLA NG SIGNAT P Oi^APPLiCANi /J I <br /> . OAC� (�t �..� /�'�j/�//(Y / " • �' I <br /> STREET �...,.. ApORE55 � <br /> i ..... <br /> I �� _- -F'G f'-y- �-�. ��/� <br /> ��izZ�� 1. ,'.� � 7 /y o ��,� Z�P I <br /> i APPROVED F9 CONSTRU ION�'�� ptE � / / — �/'/' / <br /> ���O V 7 (O <br /> I TELEPHONE NU��BER qUERNAIE <br /> � ' r��-�� �—�-�'— �� � <br /> irAPPflOVED AS CONSTRUCTED DAtE DnTE — i <br /> CONSTRUCTION/ASBUILT �EE 79�8 <br />