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everelt <br />� APPLICATIQN FOR RIGHT-OF-WAY USE PERMIT <br />Type or prin� cicarly with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WOHKS <br />EVERETT, WA3HII�GTON PC-RMIT NO.�� <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, "F ANY: <br />HEREBY APPLIES FOR PERMISSION TO <br />AT THE FOLLOWING LOCATiON / D 7 S. ��OQC1Gd 4 4 <br />ORAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />I�ERM17" IS VALID FOR 60 DAYS <br />COPY OF THIS APPUCP.TION TQ BE POSTED <br />ON JOBSITE. <br />CALL FOR !NSPEC'II'IOW 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEP <br />OAAINFGE <br />DEPARTMENT APPROVALS <br />COMMUNICRilONS <br />TRAFFIC <br />\YATER P�ANNING <br />�_. -._..,....... <br />� <br />DRIVEWAY SECTION <br />� --" <br />i <br />�I'� LIP <br />L30" � �30"�I <br />r 1 <br />T�e undersi�jnetl avmer heieby agrees lo holA ontl seve harrr�iess <br />Ihe City ol Everetl Irorv any and ell deims lor damages, cosls. <br />ee0enso5. or causes of nclion thal may arise because of installation <br />dnd mainiendnte OI Ihe improvemCnt oi oiher nghl-obway us�! <br />herelo apphetl lor nna lurlhcr agrees to rnmove same upon nobce <br />Irom tne C�ty antl lo �eplace puDlic p�operty tlama9ea '�nere�y. <br />NlM.eos,.,�.P.s . <br />���i��� �, <br />SIGNAiU�E O� AFPLICANi <br />�\ k��y, _ <br />/ DRE55 <br />����� � lJ.:-ft5+�, %8/O � <br />��,� Z�� <br />�av �oi � c3 z �' � �i- I <br />iE�EPMONE NUMpE9 A�_t[RNAiE <br />