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everetl <br />pppLICATION FOR RIGHT-OF-WAY USE PERMI <br />� TYPe or Print cleady with ink S . <br />PRESS HARD - YOU ARE MAKING COPIE Z'/ <br />Gp <br />PERMIT NO. Q� <br />PUBLIC WORKS <br />EVERETT, WASHINGTON � �NK�/�US� � <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANV: � <br />�,., / % �% ///.�'s LI/p/� <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION <br />/. Y✓ <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />I, �AJE '�aa-r <br />2 . o . v./� <br />poSzT�o►J or ZNE <br />PERMIT IS VALID FOR 60 DAY� <br />COPY OF 7HIS APPLICATION TO BE POSTED <br />QN JOBSITE. <br />CAL24 HOURS BE ORE CONrS RU C ION '� <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />SEWER <br />TRpFFlC <br />DRAINAGE <br />p�qNNING <br />WATER <br />// <br />,S BUILT <br />v <br />DR��CwA`( i �l �HE <br />DRIVEWAY SECTION <br />I �+I" LIP <br />i <br />30' � I 30 <br />The undersignetl owner �ereUy agrces to hold antl save �e�colsls. <br />the City ol Everell Irom any antl all claims for tlamages. <br />ezpenses. or causes o� aciion t0at may adse because ol installation <br />antl mainte c� lor and lutlhe�ragrees lo�emoversame upo anol ce <br />nereio apP iace pubbc property Camagetl IM1ereby. <br />IrOm �he City antl 10 r¢p <br />/�� -� 60, - <br />$IGN TU�E Of nPFL�GA� //��� <br />1��� <br />nooaess �r ; .yy�/' � <br />�i���/Y✓� i �O [/ <br />cav <br />�S'9 6�.21 - <br />TELEPMorvE NUM[iEn <br />'7�30%8-/ ----- <br />OATE <br />