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__ �ry ' '. w . . <br />� '"� . � ' . •..�� . . <br />� _ � ���� . - _ . <br />ev_irrctt <br />� A�RLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print cleatly with Ink . <br />PRESS HARD - YOU ARE MAKING COPIES <br />,' PUBLIC WORKS <br />EVERE?T,WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF qNY: c_.G <br />HEREBY qppLIES FOR PERMISSION <br />i <br />AT THE FOLLOWING LOCATION <br />URAWING (WORK TO BE <br />� �� <br />' � /r <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL �QR pIVS,pECTiON 259�881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />APPROVEO AS CONSTRUCTED �qjE <br />\ 'c, <br />�:_ <br />F <br />���_..._ y.,:. <br />.,.... ,r%..y,-. � <br />PERMIT NO.—��� <br />/ <br />' ' f ; ' <br />DRIVEWAY SECTION <br />� -----� <br />I" LIP <br />30 � � 30�� <br />� <br />The untlersigned owner heroby ngrees to hold and seva harmless <br />the City ol Everett Irom any entl all claims lor tlamages. costs. <br />enpenses, or causes ol action I��1 may arise because ol installation <br />nnd mainienanco ol ��e imp ovemmt or olher righ4of�qa use <br />�ere�o apphetl br antl lurt�er a9rees to remove same upor nohce <br />/mm me Qty antl to replece puCbc propertY tlamagetl inereby, <br />'1 i;.,`� .�I � <br />' ..,f i.� � ,.C- <br />� u :'' � I, �� � ��.�� <br />.....�r.c�r YLII:NNI ' <br />. - .. � C�G�k Ud(O�i) <br />no ess' / <br />. . ... �v �CJ� � — <br />c *r <br />Iip — <br />iEtEo���_—�� <br />ONE NUMBER ALTERNAiE <br />� - ia- �9 <br />D TE <br />CONSTRUCTION/AS BUILT <br />:. �::t#rttlJsa+zs.w+y�.�..::. <br />7978 <br />