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s <br />everen <br />Q APPLICATION FOR RIGHT=OF-WAY U�E PERMIT <br />� Type o� print cleady wnh mk <br />�� PRESS HAfiD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT NO. � �Lg <br />EVERETT,WASHINGTON /J l _ <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING �_OCATION �r / / � , � CE / ���%X �� � yu�� � <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />��sP�� <br />/F,�i�orti+szic� J c„� A a��c q/S�r�r) 2�,riar � y�/jiCo /I�.L <br />( / <br />7'a 6A-j�� /�«Frr � d�i� �2oPF� n�, rd /lf.�/o ✓F 7�.Qrtf <br />� <br />9` ��BKiS . <br />CONDITIONS: <br />1 <br />2 <br />No more ttian one section of rail is to be removed at a time. <br />iJo parking is allowed on tlie pavement area on the north;side oi the street. <br />i <br />3. Guard rail is to be replaced and secured each night. <br />�.�, <br />SignLture of Applicant <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR IMSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVAL'S <br />SEWER �aMb�Ni�A,i�NS <br />.,� <br />OFAINAGE iRAFFlL � ! <br />PLANNiNG <br />srnEE* <br />� <br />pPPR V CO STRUCTION TE <br />� �� /� <br />APPFOVEO AS CONSTRU 0 OATE <br />CONSTRUCTION/AS BUILT <br />DRIVEN'AY SECTION <br />� I'� LIP <br />I 30"� � _ 30 "_� <br />r �'—"' <br />ihc untlerslgned ownen c�reby agrees to holtl antl save harmless <br />�he City ol Evereit Ircm any ond all claims lor tlamages. cosis. <br />expenses. or ceuses ol ection �hal may arise �ecause o� installaLnn <br />an0 mainlenance O� ��e improvemuni Or o�her ngb�-ol-way u9e <br />hereto apPlied lor antl lurlher agrees to remove samc u0on nolice <br />Irom Ihe Crty and to rzplace aubhc Droperty damagetl l�eieby. <br />�i�� � �f'LJ/-1va_rT— <br />aoo�ESs��,, �'zo 3 <br />�� '�'7T- /� <br />CITY 21P <br />as�-3�� a'�- o� <br />TELE�NONE NU E�i AITERNAif <br />5 // —_—_ <br />JatE <br />