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� �i <br /> I! everett I <br /> � APPLICATION FOR RIGliT-OF-WAY USE PERMIT <br /> Type a print clearry with ink I <br /> � PRESS HARD-YOU ARE MAKING COPIES <br /> I I <br /> I PUBLIC WORKS PERMIT NO. gv �'y �I <br /> i EVERETT,WASHINGTON - I <br /> APPLICANT (UNDERSIGNED) AiJD FIRM REPRESENTED. IF ANY: I <br /> II��I HERE3Y APPLIES FOR PERMISSION TO — <br /> I I <br /> /J�.'TCIi� � ` <br /> I AT THE FOLLOWING LOCATION� � <br /> �I I <br /> , DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I I <br /> I� II <br /> li �� <br /> I�, I <br /> �I �I <br /> � I <br /> I DRIVEWAY SECTION �� <br /> i <br /> I� PEF!lWIT IS Y/3i.ID FQR 60 DAYS 5.---- � �I <br /> I <br /> � CppY OF THIS APPLICATION TO BE POSTED _ � � ��P � _30 I <br /> I ON JOBSIYE. �..3�- - � <br /> CpLL FOR INSPECTION 259-881 1 I <br /> � 24 HOURS BEFORE CONSTRUCTION Tha untlersigne0 owner hereby agree5 io ho10 and save harmi�ss <br /> tne City ol Everett Imm any ana all claims lor tlamages. �osts. <br /> � eKpenses,or causes ol aclion Ihat may arise because ol in,lallabon <br /> antl ma�nlenanCe o� �he ����mvement or other ng��-o�'w�Y ��se I,I <br /> � neiMo apPl'e�br and �uriner ag�ee5 lo reniove same upnn nobte <br /> ��� hnm Ihe Ci�y and to repl�i<c public pmperry tla�»yetl there�y. I <br /> I I <br /> I DEPARTMENT APPROVALS <br /> i <br /> � COAIAWNIGATIONS ' �I <br /> SEWEH � / I <br /> IiMFfIC �-v�� ,/J �(/��(/� I <br /> OliAINAGE ��v/1���^G'% ' I <br /> � A <br /> SIGNATU�EOf An✓l�C<Ni <br /> �i �� ' P4ANNING �� ��������� N�� <br /> NATER' � • �� . . <br /> � � <br /> _ '� � _ - AODHESS�V�QC���� W� '�SZO4 _ � <br /> � S1RCEi <br /> lu` I <br /> � . �� o ��„ r I-Sa>�• 4814 <br /> /; �= �i., -- � ,��- 3�3 - 8158 - ��,E���,E '� <br /> � - - ����. ��� - F�� � <br />