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.����xy.:: <br />� <br />� \ ' � g7o� <br />eve.eM <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type Or priM clevly with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVEREtt, WASHINGTON <br />APPLICANT (UNDEPSI6NED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION TO <br />AT THE FOLLOWING LOCF,TION <br />1':. <br />DRAWIN�i (WORK TO B£ �ONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR IN8PECTION 259-961 f <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />ORR,NAGE <br />W�TER <br />STREET <br />DEPARTMENT APPROVALS <br />GOMMUNiGAliONS <br />TRAiFIC <br />Pt4NNiNG <br />� � �—_ <br />q–� R O TION �� <br />Li<'� _ ` is ���7 � � <br />APP D AS CO TRUCTED DATE <br />PERMIT NO.� <br />DRIVEWAY SECTION <br />+I" LIP �1 <br />� <br />jr 30 � �T' 3_� <br />T�e untlersigneE owner hereby egrces lo ho10 antl seve harmlees <br />t�e Cily oi Evereli trom any an0 all cleims lor tlame9es, cosis. <br />expenses. or causes ol action t11at may arise Deceuse ot instelletion <br />an0 mmntenance ol t�e improvemenl or other right-obway use <br />hereto ap0��e4 lor antl luriner agrees to remove samc upon not¢e <br />irnm Ihe City and to replace publ¢ properiy Oamxged Ihereby. <br />.��Sy�� � :.�'�'�-�C� <br />icu[rnor+Er+uuuc�� n�t[r�Hnrc <br />iz - iJ- �'v <br />CONSTRUCTIONiAS BUILT �EE �gjg <br />