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- � — I <br /> a � <br /> everetl <br /> � APPLICATION FOR RIC;HT-OF-WAY USE PERMIT <br /> Type or print clearly with mk <br /> PRESS HARD - YOU ANE MAKING COPIES � � <br /> PUBLIC WORKS PERMIT NO. ��'S <br /> EVERETT,WASHINGTON . . . <br /> A�_ .i '�. , . ..� .. j �� ' _ <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: r— __l <br /> HEREBY APPLIcS FOR PERMISSION TO <br /> ._.l ..II � '. -iT� �II�/ . <br /> � <br /> ,��!. -, . _� - `' ,�.i;�-: trt <br /> AT THE FOLLOWING LOCATION � � � �- <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS AiTACHED: <br /> DRIVEWAY SECTION <br /> PERNNIT IS VALID FOR 60 DAYS 1�--- - � <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED I" uP <br /> ON JOBSITE. 30" <br /> � <br /> � 30" <br /> CALL FOR fNSPECTION 259-88 y 1 r--'T' <br /> Z4 HOURS BEFORE CONSTRUCTION rna undersiqned owner hernby agrees•lo hol� entl save harmless <br /> the Ciry of Everett Irom any and all claims lor tlamages, costs. <br /> eKpenses.or causes ol action that may arise bacause ol installetion I <br /> ana maintenance O� th¢ improvement O� OIhC� nghi-Obwdy u5e <br /> hereto epplied for and luriher agree5 to remove Same upon no��ce <br /> Irom ihe Ciry antl to replace pubiic pro0erty tlamaged mereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS �� � �\ <br /> 1 <br /> DPAINAGE TRAFFlC ./ ' ���.� .. .. � �(' I <br /> � <br /> WATER PLANNING SiGNAT�E OF AVP�iC4NT , I . � <br /> . , . � / `'` �i� :�... <br /> 1 <br /> — ApDRESi � ' �. <br /> sraeer �•'�� i� �� '�S� �. 1./ r � i , <br /> , �3'S/�/ ��r� Z�� <br /> -�-� �,' ; , . J� , I <br /> PPROVED FO C STRUCTION onTE _ <br /> TFIEPHONE NUM9EA A�TERNALE <br /> � �� �' � <br /> DATE DATE � /�f� <br /> ppPqOVED AS CON&TRUCTED �� <br /> I REPERENCECOPY .ee 1978 <br /> _ . � . � �w_.�:�"_�:`3,- — <br />