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ev en <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cle�dy with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBUC WORKS 0 � <br /> EVERETT,WASHINGTON PERMIT NO.�o�.�. � <br /> �^�- �I\ <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: A � �� ^ ��L�P �t"-�'���� p-� � � l , <br /> 1 �,, J <br /> HEREBY APPLIES FOR PERMISSION TO����� Z- �`� � �E` (��F�) � ( r�� � r� � I�i <br /> ��-� � {-� _"�' � E �a�>iI Q � D r i��E i � n , '`f' l� :•..1�-rn , •:^1" ( r.l��'✓ <br /> D�n! ��-�--- '_'/'".. � � �t � �j �� J� "v '�a � ) F <br /> AT THE FOLLOWING LOCATION � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ORIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � -� <br /> CC1PY OF THIS APPLICATION TO BE POSTED I" LIP <br /> ON JQBSITE. 3p�� I .L,�30"� <br /> CALL FOR ITISPECTION z59-881 1 `T' <br /> 24 HOURS BEFORE CONSTRUCTION 7ne undersigned owner hereby agrces to ho10 antl save hnrmless <br /> �he City ol Everoll irom eny en0 all cleims lor demages. costs. <br /> e.pensea.or causes oi acGon that may nnse Ceceuse oi mslaVntion <br /> and maiNen3nce ol Ihe improvement or oihef righl-ol-way use <br /> he1CI0 aOP��e4 br HnG�urihcr agrees b remove 5ame upon not¢e <br /> Imm ihr. Cily and to �eD��ce Vu�lic mopeny dama9etl Ihere�y <br /> DEPARTMENT APPROVALS <br /> SENEP COMMUN�CATIONS <br /> O�A�NAGE iRAiFIG /� !� \ / � �" <br /> �N Y <br /> WqTEp PLPNNING 5 FTUR Of RPM CANI p <br /> \ t lI� ' �ls f � ( ��_ 1� `I �Cf� C <br /> STREET AOORESS <br /> �l�1 Z\` �E ? � -�' '#� Z� �-- <br /> IiY LIP <br /> APPROVEDFOFCONSTflUCTION OATE ���'-� f� �F (( �5�� i�C/C • � YVN� � <br /> iELEP��ONE NUMBER <br /> AUERNRiE � <br /> � `L� / /� '1�C�-� _ <br /> qPVHOVED AS CONSTRUCTEU w�1E OAiE <br /> /'"y{� f�U <br /> FEE � �9�8 <br /> CUSTOMER <br />