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, <br /> � ��` � � <br /> ieveretl <br /> i � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or prinl clearly with ink i <br /> i PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WOFKS /`/� /� I <br /> I EVERETT,WASHINGTON PER�11T NO. �� � <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: J y�— !� X��J�Gt � i . <br /> I HEREBY APPLIES FOR PERMISSION TO�f�J dL- T�-��.�r�.P/ _ .C��S I <br /> i <br /> � <br /> AT THE FOLLOWING LOCATION I D I 7 S � � /� O G /I W CI r/ <br /> � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ; Cl<.155 ��' f�sr�/aG T �°�=aP C/%'/S�� �/1� .�/C.yff%"_�F- <br /> I ��y <br /> i Po,� ,e��u� � ,��� I <br /> � , � <br /> � I <br /> � <br /> � <br /> I <br /> � <br /> I <br /> , <br /> � <br /> I I <br /> � , � <br /> � <br /> DRIVEWAY SECTIOf1� <br /> PERMlT IS WALID F�OR 60 DAYS � � � <br /> i <br /> � COPY OF THIS APPLICATION TO BE POSTED i�� ��p I <br /> iON JOElSITE. L 30" � I 30"_ � I� <br /> � CALL FOR ITISPECTION 259-881 1 i T �1 <br /> 24 HOURS BEFORE CONSTRUCTION Thc undersigned owner hereby agrees to holtl and save hannless <br /> L �he City ol Everet� Irom any and all cluims for damages. cosls. <br /> expenses.or causes of aclion Ihai may arise because ol inslallction <br /> antl mainlenance ol �he improvement or other righi-ol-way use <br /> here�u apphed lor antl lurther agmes lo remove same upon notwe � <br /> Irom Ihe Gty antl to replace pubhc pmperty damagetl Ihereby. <br /> DEPARTMENT APPROVALS <br /> �' _ . , <br /> sewen ' cor 1UNICATIONS <br /> DR AGE TRAFFiC ��}/�//�� <br /> ' �j ��""��" Z ��Yl�'�''� I ^♦ <br /> l � � , <br /> i WATER P ING SiGNI RE O�aPPLiLANI <br /> 3� �As-r PI� <br /> STREEi ADORE55 <br /> H 3� �fi�� / U,�4 �l�I 2-v <br /> / GITY ZIP <br /> A EDFO CONSTRUCT �ATE �UZ—v`T�U <br /> TELEPHONE NUMBEP ALTERNATE <br /> I APPROVED AS CONSTRUCT � oniE O � DaiE <br /> ICONSTRUCTION/ASBUILT fEE — 197R <br />