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II ^ . <br />everetl <br />I � APPLICATION FOR RlGHT-OF-WAY USE PERMIT <br />Type or print cleady wilh mk <br />� PRESS HARD - YOU ARE MAKIN6 COPIES <br />PUBLIC WORK:' <br />i EVERETT, WASHINGTON <br />APPLICANT (UNOERSIGNED) AND FIRM RFpRESENTED, IF ANY: ' ��� ' <br />� HEREBY APPLIES FOR PERMISSION T` � 7 �� � ��� �� <br />i ,- <br />PERMIT N0 _�J ��L �— <br />�� _ ti?' � " rJ <br />� ATTHEFOLLOWINGLOCATION_ ���D /' � �-� x ii� � �(;�� �Vf _ <br />I � <br />�I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />i— G��ts5 '.B'' /,�sf�/%�� T u�r ����er� P�.��i� ,�i�t� r-d F- uJfl y-- <br />- p2! d��rl� i fl r�.�of_9z-.eTy �/ruc To �3� A%-,Z °lo F�,PnrK <br />G'.EN ��� �licic �L�� J3"�a� Of.,�,�/.eJGCon/ 69U� ,_.. <br />S '�'�0�� <br />1 �,i.�` U��C�n' <br />T ^�c�'� 9„�;0�+ �e5 ��� <br />C� `v c� °' � � l� <br />� r - M �o� � � �^�^'�� � es <br />,�"" <br />� '-�^ <br />�^ <br />C''�' �� J -��'`' ��� � � � 0 <br />. <br />. <br />. \ `,� �,.. � `Sy � .e._ <br />-a-� - <br />,�a ��eS <br />� ��� � � <br />z�.� <br />I����J <br />PERMIT 15 VILLID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO Bc POSTED <br />ON JOBSITE. <br />CALL FOR INSPBCTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />MENT APPROVALS <br />ORIVEWAY SECTION <br />� —. _� <br />�__ � I„ LIP --�1 <br />�„ 3��__ —� � 3_� <br />The undersigned owner here0y agrees 'o hola end save harmless <br />Ihe City ol Everett Irom any antl nll claims br demages. cos�s. <br />expenses, or Causes o� aCtion �hdt may ause because o� m5lalln�ion <br />and main�enance ol �he ���O�ovemenl �� oi�w rig�l-obway u5c <br />nerelo applie� Inr and luriher agrees lo iamUve same u0on nUL<e <br />Irom the C�ty antl lo repiace pubhc property 4amzge0 Ibeieby. <br />r- • <br />� � %' <br />i � <br />S�GNATUAE O� PPVLICANI � <br />� <br />_".._—__ _—__ I <br />STREEi — RE55 . . . I <br />A <br />`�- 1 �� <br />\ ^ /��/. ^ � - ______ _ . <br />— . . ' � (� +-' --.C'— j�� -�r Jl . , � ---- .. I <br />