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_ - - i <br /> '� ' 1 I <br /> everetl I <br /> II � qpP!!�ATION �'O�i RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly wilh ink <br /> PHESS HARD- YOU ARE MAKING COPIES �' <br /> IIPUBLIC WORKS PERMIT NO. �-5'S <br /> EVFRETT,WASHINGTON � <br /> -,� � ��- (� ; Ir ; `��--�� ����f'c' , <br /> APPLICANT (UNDEFSIGNED)AND FIRM REPRESENTED, IF ANY: J <br /> 1 fi/! ��= . �j—�- L���Y'l l � )Q.' � <br /> HEREBY APPLIES FOR PERMISSION TO �1— _ <br /> I AT THE FOLLOWING LOCATION <br /> ly � C, l._.i:.V�\�c� 1 �l �CJ�.fX 'I .i <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: I <br /> I <br /> I <br /> I <br /> I I <br /> I <br /> � <br /> � <br /> I <br /> DRIVEWAY SECTION <br /> PERMI� IS VQLlD FOR 60 DAYS � � <br /> i <br /> COPY OF THIS APPL"CATION TO BE POSTED � I" LIP ' <br /> ON JOBSITE. 3�"� _I_3�� <br /> CALL POF3 IIIVSPECTIOPI 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION rn� ��ae�s�9��a ow��� hereby agrees �o hold and save harmless <br /> Ihe Cily ol Everetl Irom any antl ull claims lor dUmages. cosls. <br /> expenses,or causes o�aclion that may arise becuuse ol ms�alla�ion <br /> and m�iNenancc of Ihe �mpmveinenl or other nght-of-way use <br /> hereio app�ied lor and furiher 2gree5 Io remove same u0on not¢e <br /> ' irom ihe Gry and �o replace public properly dama9ea �hereby. <br /> GEPARTMENT APPROVALS <br /> $EWEF COMMUNICNTIONS �, ,-'�� <br /> iRpfFIC � j� <br /> DPAWFGE � �( / <br /> ,�.�.�r1 '��� 0�� � <br /> , <br /> � ��1 � , .;�Le'NI�G Sl�ri��r �F'P���Ar�� /� ``� f�.. — <br /> WAIER '�1 <br /> I ` <br /> PD RE , <br /> STREET ��'�l �_�'� � �� ������� <br /> �'V <br /> � CITY ZIP <br /> . . ' , . . �� �� -7 <br /> PPROVED"r SIRUCTION D.�iE �) C �- 4� / LI <br /> � , .... / T LEPMONENUMBEF ALTERNAiE <br /> � i? >;j - �f �r���,��"�d! �� �I -� - S I <br /> � �- _ �', , i <br /> (/ pniE i! <br /> APPROVED AS CONSTRU TED � D�IE � p <br /> ICONSTRUCTION/AS BUILT �EE � t97S <br />