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everen � <br /> � APPLICATION FOR RIGHT-GF-WAY USE PERMIT <br /> i Type or prinl tlearly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS ��/ a � � <br /> EVERETT.WASHINGTON PERMIT NO.�_ <br /> I <br /> I APPLICANT (UNGERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISS�ON TO <br /> i <br /> AT THE FOLLOWING LOCATION �/�� �UF/�'�' � �t/ F <br /> DpAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> I <br /> � <br /> I <br /> I <br /> j ' �1 I <br /> �I <br /> i <br /> � <br /> � i <br /> I I <br /> i � <br /> i <br /> I , <br /> I I <br /> I <br /> I <br /> �I <br /> � <br /> � DRtVEWAY SC�TION � <br /> I <br /> ' PERMIT IS VALID FOR 60 DAYS {� � <br /> I � <br /> % COPY OF THIS APPLiCATION TO BE POSTED i" LIP <br /> ON JOBSITE. I <br /> CALL FOR INSPECTION 259-887 1 �=3� T �f_30" i <br /> - i <br /> ; 24 HOURS BEFORE CONSTRUCTION The undersignetl owner hereby agrees lo holtl and seve harmless � <br /> i the City ol Everetl imm eny entl all clBimS br damages. costs, j <br /> I e.penses.or causes ol action that may arise because ol mstallnhon I <br /> ❑nd maiNenence ol ihe improvement or other nghl-ol-way u5e <br /> � h¢relo apPlieE lor end tutlher agrezs Iu remove same upon no��ce <br /> IIrom �he Gty and Io replace public property Oamage0 t�ereby. <br /> � DEPARTMENT APPROVALS i <br /> SEWER COMMUNICATIONS <br /> � <br /> iORAINAGE TPAFFIC I <br /> I <br /> WATER PLANNING SiG A REO AP LiCANT I <br /> Cilo�r BIAo 9]2j SE 36�' i <br /> STREET PODRE55 <br /> � �oa[��r .l-s�n�� 1-1�Y� �180�FU <br /> � � GITV ZIP i <br /> A PROVED FOR NS UCTION �nT a 3 6— U(dV']� <br /> � ^ tELEPNONE NUh��EA AIiCRNA1E I <br /> ' � s1� �� ��J -�,� <br /> APPR / AS OFJ� TED oAtE , niE �� <br /> I <br /> CONSTRUCTION.!ASBUILT FEE �g�g � <br />