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everett <br />� APPLICATION FGR RIGHT-OF-WAY 11SE <br />Type or prin� clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERE7T, WqSHINGTON <br />APPLICANT �UNDERSIGNED) AND FIRM REPRESENTED, IF ANV: <br />PERMIT <br />PERMIT N0._Z�L�L_� <br />HEREBY APPLIES FOR PERMISSION TO i;��� �' '� �, �" q/�/� �� ,�� f� ���/'/ I.� <br />i :_ L� i/la�%� f`f/�! 1� ��lt�/L,�� �� LI �,!-�/ —�l�.E-.[.'�T cf. �/r rE.i1� �f��— <br />AT THE FOLLOWING LGCATION <br />DRAWING (WORK TO BE DOhE) OR THREE PLANS ATTACHED: <br />PERMI'L' IS `.'r.�.ID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL. FC1R INSPECTION 259-681 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />pRAM�GE <br />WATER <br />DEPARTMENT APPFOVALS <br />COMf,1UNiCATiONS <br />TRAFFIC <br />PIANNING <br />� • i �c�� <br />APPROVEO FOfl CONSTRUCTION UAtE <br />�� � <br />DRIVEWAY SECTION <br />+I" LIP �l <br />L 30" I � 30" <br />I� T 'T <br />The un0ersignetl or�ner hereby agrees to ht:A entl save harmless <br />�he Ci�y ol Evemtl Irom any antl all claims lor tlamages, cosis. <br />eapenses or causes of aciion iha� may nrise because ol mstallation <br />antl mein�enante ol Ihe impiovemenl or ol�e� ng�4o��way u5e <br />�orelo npPhetl �or ontl lur�hei n�rees lo remove samc vVon nat�Ce <br />Iram Ihe C�;y nnQ lo replacv puhLc nroperty tlamaga<1 Iheieby. <br />(f% ' /{L���j ) f <br />G tiURE OF q L AN* ' ' C��� <br />/ <br />'�. -7 �,/ ; f�d: i <br />nooaess �' � 7'—' <br />� ./ r% __� '___ [T�r �r ! � �� i <br />Ciiv/ +r ""T ' � ' 7 ' 2ia � y <br />` J �~C <br />>' <br />iE�LVnONE MD�—�� �-�� �t�ERNa1E <br />