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— i <br /> � <br /> everell <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> '^.�1 Type or print Gevly wlth mk <br /> '•1 PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON � PERMIT NO.���.�— <br /> - APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED, IP ANY:—�q � �`=•—',-�::=�—ry��� ' <br /> HEREBV APPUES FOR PERMISSION TO G C�N JT� 25 � r AS PI�iL�r�J�— <br /> AT THE FOLLOWING LOCATION 7�D � F. f1��h�.r •,/Q� — — <br />, DRAWING (WOHK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> i <br /> }� � ' <br />' ';�t@.f:� � .. t- <br /> �l�� <br /> r <br /> } , <br /> a(�y tii <br /> � r,. <br />� '�f; <br />� � 1 <br /> ! <br /> � <br />, <br />� <br /> � <br /> DRIVEWAY SECTION I <br /> �ERMIT IS VALID FOR 60 DAYl� V_ — --� i <br /> COPY OF THIS AAPLICATION TO BE POSTED i" uP <br /> ON JOBSITE. gp�� L3o"_I i I; <br /> CALL FOR INSPE�TION Zs9-881 1 <br /> 24 HOURS BEFORE CO�NSTRUCTION 7he un0eraigned owner here6y agrees to holtl enA seve hermless `� <br /> �he City ol Everett Irnm eny end ell cleima lor dameges. cos�s � ■ <br /> eapensos,or causes oi action thal mey arise becauso o�inslallation � <br /> antl mainlenance oi the impravemen� or ol�er nq�bof-wey use i <br /> hereto applietl lor anE lurt�er eqrees Io remove same upon nobce <br /> Irom Ihe C1�y anC to replace pubbc prpp^rty tlamneetl mereev. <br /> DEPARTMENT APPROVA <br /> SEWER COMMUNiC4T�ON /n/� l 1 <br /> / <br /> DRAINRGE TRAFFlC <br /> � <br /> ,yqTEq PLqNNING 5 G h U OF FPL T <br /> 3 5 <br /> STREET � aDDR��� n <br /> �/.!/IifTT �/A ¢���1 � I <br /> Z ��,�.5.�� 5�i��3 z�F <br /> pP O EO FOR C UC710N o�� " � <br /> TELEVHONEN MBl� �--_ ALiEANAiE <br /> ---.���-��� �,�� � ���s�%y ' <br /> r,—r��c��Eo-as' corisr��.�ro �:hrr n.,•r � <br />