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ill <br /> I <br /> II <br /> I <br /> II a� <br /> everen <br /> � APPLICATION FOR RIGH f-OF-WAY USE PERI�Ii <br /> Type or print clearly wilh mk <br /> PRESS HARD - YOU ARE ti:AKING COPIES � <br /> PUBLIC WORKS PERIv11 i NO. �-5'S <br /> EVERETT,WASHINGTON — . . <br />� , :ii `e i �� �- I <br /> APPLICANT (UNDERSIGNED) AND FIRId REPRESENTED. IF ANY: i� <br /> J I( ( . .. -i -i-' �II�'-f � ' � . <br /> HEREBY APPLIES FOR PERMISSION TO �— i <br /> �� � �� <br /> I. ' i . .��' _ � ..�.. <br /> AT THE FOLLOWING LOCATION <br /> DRAWING (WORK TO BE DONE) OFl THREE PLANS ATTACHED: <br /> ,��. <br /> i � <br /> �� <br /> �� <br /> 1 I <br /> I '� DRIVEN/nr SECTION <br /> � <br /> � PERMIT IS VALID EOF11 60 DAYS � --'j <br /> COPY OF THIS APPLICATION TO BE POSTED L + i" LIP <br /> � ON JOB:i�TE. �„3o"�j„ _ I _3o I <br /> ;� �p�.;_ FOR INSPECTION 259-SO1 1 <br /> Z4 HOURS BEFORE CONSTRUCTION 7ne undersiqned owner nereoy agrees io hold antl save hnrmloss <br /> ' the City ol Everett imm any and all cleims br Onma9es. costs. <br /> ' mDen5C5.or causes ol aclion Ihai may nrise becaUse ol:n5ialln�ion <br /> antl maintenance o� �he improveme�� or olhe� right-obway use <br /> ' her^lo apphed lor an0 luriher ag�ees m remove same uVon not¢e <br /> Irom tne Cny antl to re0lace pu0lic property Damnq^4 inereby. <br /> DEPAFI'MF.!1T APPROVALS <br /> SEWER COMMUtlrr,A1�0"L: .. . .. �_.\ <br /> 7 / <br /> OHAIHAGE T(iAFGiC . ._ . . . J r • �!� -.� �1, I <br /> l � <br /> PL4NNING � SIGNATUREOG/JPLICPNT��� I� •..� .I . - <br /> YIATER � <br /> — AODRE55 � . ' ,� � <br /> STREE ,i � ' ��� �.�� , (� � �I . <br /> } 2P <br /> ��� �j'S��/ ��.. <br /> F � t�A,E ' I <br /> ' nr�Pr�ovro Fo c ' Sir�ucTioN � � � r,�,EnNn,c —] <br /> �r�r.r��r:t vua�i�r� <br />