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� ��, <br /> j - , <br /> � i <br /> � everen I <br /> � � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> ' Type or print clearly with mk <br /> PRESS HARD - YOU ARE MAI<IMG COPIES I <br /> i IPUeuCwoaKs — ' PERMITNO. �Z <br /> EVERETi,WASHIP�GTON , <br /> � �S%�uoe�a o� i� O�azAe� ,.�� <br /> I APPl.ICANT (UNDERSIGNED) AND FIRM REPRcSENTED, IF ANY: <br /> I!� HEREBY APPLIES FOR PERMISSION TO ��-`Q�� � v`�a�L (JJ A I� QD M C� N J iZ-�.I�k <br /> r I <br /> � I c�c,.�N� 1��sc �r- asio [�oMrr�r�� --�� ��Dc-���-� — I <br /> 251D Lon.��-3��� � ����`-z-r- u�� � <br /> AT THE FOLLOWING LOCATION i <br /> DR.4WING (WORK TO BE DONE) OR THREE i'LANS ATTACHED: <br /> I25 �� LoMa�e,� I <br /> i � F���j� I <br /> . ��._` �\�S II <br /> � <br /> I <br /> � �i� I <br /> �� <br /> �7 <br /> ' E x5r � bw � <br /> (� �' <br /> ; � M��� � Sz <br /> , � <br /> , � <br /> , i _ <br /> ;, i ,� <br /> , <br /> �y II li <br /> ;, , <br /> DRIVEWAY SECTION I <br /> � �! � i <br /> j PlSRMIT IS VALiD FOR 60 DAYS t�--- � <br /> I I <br /> . � COPY OF THIS APPLICATION TO BE POSTED L f i" uP , I, <br /> � I�, �J�; JOBSITE. L30" � - 30 I <br /> ��, �� CALL FOR INSPECTION 259-8f37 1 � I <br /> ' 24 HOURS BEFORE CONSTRUCTION <br /> '� I The un�ersigne� owner hereby agrees �o hald antl save harmless <br /> � � the Ciry ol Evcrett Irom any and all claims lor damages. costs. I <br /> � �I eapenses,or wuses ol action ihat may anse bewuse o�mslallabon 'I <br /> antl niaintenance of Ihe improvement w olhei rig��i-ol-way use <br /> I he�elo apphed �or intl Wriher agrees lo remr.ve 5am^ upon noliCe i <br /> , I�om IM1C Cily and 10 replarn pubbt property aamagetl lhereby. <br /> f � I DEPARTMENT APPROVALS ', <br /> � <br /> � SEWER COR1MUNiCAliONS I� <br /> I I pPAINAGE iRAfFIC � �� — li <br /> X <br /> P�ANNING SIGNAIU{R�E�OF a�'PLICAM ���//�' � l//O ^� <br /> ,� WATER a�/ /_/ f-�F'/C/� ' ' ' -� . <br /> i <br /> �O' <br /> � . ADOHE55 � / I <br /> STFE� <br /> L�dE�C�—l�f� � �o `�, <br /> � /�/7 i , �� arr p `� zir , <br /> � APPNI'�FDFOftCO STRU��ON� /0 E ��0 � ���/J�'� `� �� '���� <br /> '� - �E�HONE NUMOE�� �LiE�NniE <br /> -��� g -- � — . - --- - - <br /> � �r-- <br /> ��I'FRr�V[I� nti!'t'M ,� �I Irl FI� <br /> — ��.,,� � .,,� <br />