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everen • � <br /> � APPLICATION FOP1 �iIGHT-OF-WAY USE PERMIT <br /> Type or print cleerly with mk <br /> PRESS FIARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. �� l <br /> APPLICANT(UNDEFiSIGNED) AND FIRM REPRESENTED, IF ANV:_�/1'�l'L �-� /L L <br /> � __ <br /> HEREBY APPLIES rOR PERMISSION TO f>�/�L r �:�.-�:i' �i li T r� / ,'K � � y � � ��/ <br /> AT THE FOLLOWING LOCATION_f G7�(o ` Q/1?/� /2 f� ;�Z��. <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> DRIVEWAY SECTION <br /> PERMIT OS VAl.ID FOR 60 DAYS � <br /> COPY OF THIS APPLICATfON TO BE POSTED I�-- � <br /> ON JOBSITE. I � i �" LIP � <br /> CAI_F FOR INSPECTIOP! 259-881 1 3� ___.�„30'� i <br /> 24 HOURS BEFORE CONSTRUCTION The untlersigned owner hereby agrees Io noia and save narmics, I <br /> the Cily ol Evereli /rom any and all claims lor Oamages, costs � <br /> exponses,or c�usos ol ec��on I�at mey anse bocause ol installabon � <br /> and mam�enance of Ihe imprwemenl or other rig�4oi-way u <br /> �ere�o appbeo lor antl �vriher agrees Io remove same upon nobo- <br /> Irom Ihe Ctly antl to replace pubbc property tlamagetl Ineicr���: <br /> DEPARTMENT APPROVALS <br /> SE�VER COMMUNIGnLIONS � <br /> I <br /> ❑RFINAGE iRqFFlC I <br /> �G-� � �,:,�f' <br /> W�iER PLANNING SIGNALURE OF APP�ICF1ai <br /> SiIiEET p/VS� � .1 �—'7�V"C��L6� <br /> I <br /> , ` "`i:< i � , ; _ i . �,..- e��` ��...z�; 9sraa / � <br /> l� �-� �.�. _ �� �(1- a'�l ,i ��r. ��P <br /> P ROVED FOR CONST9UGTION DATE � j � / � � 5 <br /> V <br /> iELEPHONE NL16�BER ALT[RNAtE <br /> APPROVED AS CONSTFUCTED O�.rE oaiE — <br /> � r.,_�r_i�r_�.��.�_coi�v �EF �s�s <br />