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_ \ <br /> , <br /> evereri APpLICA�ION FOR RIGFl7-OF-WAY USE PERMIT <br /> � TYPe or Print clearly with ink <br /> PRESS HARD - YOU APE PdAKWG COPIES <br /> PUBLIC WORKS PERMIT NO.��/ ,� <br /> EVERETT,WASHINGTON �/�, �M <br /> n"�- � e�� A J � <br /> i, <br /> APPLICANT (UtiD�fiSIGNED) AND FIRM REPRESENTED. I��,}-�'-���"4 / � � — <br /> �{'�� � �/ /� <br /> HEREBY APPLIES FOR PERMISSION TO�� V <br /> / p l��7� A l� 4' f'� � <br /> �'� y�� ��"!�(7Lf 1- ,FFV j J��.� m� � _ —� _ ' (! <br /> AT THE FOL Olh ISG LO A I — /S'�' � � <br /> DRAWlNG (WOfl1C TO BE DONE) OR THREE PLANS ATTACHED: <br /> DRIVEWAY SECTION <br /> p�RMIT IS VALID FOR 60 DilYS � �� <br /> COPY OF THIS APPLICATION TO BE POSTED + � ��P 30��J <br /> ON JOBSITF. 30'�------�— "� <br /> CAL.L FOR INSPECTION �59-86 � � <br /> 24 HOURS BEFORE CONSTRUCTION The un0er5igne0 ownor hereby agrees to holtl and save hurmless <br /> the Cily o� Everetl Imm any antl all claims lor dnmages. costs. <br /> expenses.or causes ol aclion Ihat may arise because ol mSlaltalion <br /> and mainlCnancC O� �hC impl0vemeni or other nght-O�-wdY use <br /> her�lo apPliea lor ond Iwlhcr a9rees to rcinove�s�na etl�lhe eby <br /> ��^�^�'"��" hom Ihe GiIY �na te �eP��cr P��nhc p oP Y 9 <br /> DEPARTMENT APPROVALS <br /> CORIM1IUNIGPTIONS � <br /> SE�VE�� <br /> TRAGFlG � � <br /> pR41NAGE , /�� --—--'- <br /> —�� NATURE i APOLIC /�� <br /> - P�ANNING � <br /> Y/ATER <br /> AO�RES � � �'� � <br /> SiREE---- <br /> ZIP <br /> GIIY � � ' , / ,� <br /> � Q lC <br /> D/•TE A IEAN� <br /> pV'PROVED FOR GO�ISTFUCIION TELEPMOb�U��� 7� <br /> ���Lr� --__ —'— _ . <br />