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� <br />�.�;�n � "o�l �`".� � �2 z/6/9 <br />t Q APPLICA�'ION FOR RIGHT-OF-WAY USE P�eiMIT <br />v Type or prin� cleady with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />PERMIT NO. <br />� .�— <br />�/"' " - -�i= <br />��./c 7 /�GA�.S <br />l. <br />AT THE FQjj,QY✓ING LOCATION _ 'l � -�' I �-ti��� `I ,,`J' �%Ci. r',F � <br />DRAWING (WORK TO BE Df�NE) OR THREE PLANS ATTACHED: <br />/�' <br />: '\ ��, <br />+ • .14 ` �' ` ', .i' . <br />'�� \., �, 1�.J <br />��ro � , ���� ,r,� <br />�6' ,,� <br />�ck[ � �-,t`' y <br />� �v � � �i�. <br />�. { <br />B <br />.. • � , � � � . . . . .t , i . <br />, � . <br />- -'r= - x-, <br />�.;.->;�: , <br />,. <br />._ 1. <br />PERMIT IS VALID FOEi 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR IflISPECTIOl�I 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />sew—eN conneumic �oNs — <br />G�:nWAGE iRAfFiC /� � I � / <br />PLr1NNWG <br />S1�EET�� <br />�� /� I� il. !/ <br />�N A � N� kl IB �ATE <br />AVPf?OVED n5 CONSTRUCTED oarE <br />�,�.� ..�.._.. _._. .��n� <br />DRIVEWAY SECTION <br />� � <br />I" LIP <br />�30�f�—_— �7�30" � <br />i <br />The untlersigne0 owner hereby agrees to holtl untl save harmless <br />t�e City ol Everell Irom any antl oll clalms lor Aame9es, costs. <br />e+penses. or causes o/ action Ihat may arise because ol in5iallalion <br />and mantenance'ol Ihe lmpmvement or o�hel righ4ol-way use <br />here�o aOPlietl for antl furiM1er agrees Io remove same upon not¢e <br />hom �ne City and Io replaCe publit property tlamaged Ihe�eby. <br />.�. �' A'/,,�'! <br />.. _ <br />TELEPHONE NIIMBER p�iEfiNAiE <br />� <br />