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VP i, -� �� <br />1 <br />J��,. , �, � �=,, , , _ <br />everetl <br />Q APPLICATION FOR R�GHT-OF-WAY USE PERMIT <br />� Type or print Clearly wi�h mk <br />�� PRESS HARD -\'OU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT,WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIFM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PEFMISSION TO -'- —==� <br />AT THE FOLLOWING LOCATION % �� � � '� � " � ,— <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />• ` . • _�. <br />_ �1 �I � ! --� .--%%' - <br />� :; <br />11 �< � <br />:� <br />� ,r <br />, <br /><< � -{ :.:..,. � <br />� <br />� _ ' '/ <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 2S9-8B 1 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEP <br />DRAIN4GL <br />DEPARTMENT APPROVALS <br />COMtNNICAi IONS <br />TqpFFIC <br />p�pNNING <br />���. (/, / <br />.�li �,I. � k / �/ <br />APPROVED F CO �CTION �AT <br />�l� _ � ��� �- <br />APPROVED AS CO TRUCTED �AiE <br />CONSTRUCTION/AS BUILT <br />PERMIT NO. �, /�— <br />". � / _. <br />DRIVEWAY SECTION <br />� I'� LIP <br />I 30" _ � 30" <br />r <br />The undersigno0 owner �ereby agiM�s w ho10 an0 save hermiess <br />ihe City ol Everett Imm any and all claims br damages. costs. <br />e�pense�l, or causes o7 aciion Nat may nrise bewuse ol mstallahon <br />df�d fltd�O�CfldnCf OI IOC IfflplUVP�lepl O� OIhQ! I19i1LOI-wfly USP <br />herelo a�pi�ed lUr anC Iurl�ei agree5 lo remwe snme upon noiiCe <br />irom Ih�� C�ly antl lo �epince Puplm O�o�erly Aamayetl Ihe�eby. <br />i <br />� % / <br />� � _� � ' . G"� �' <br />SIGN(� �li/(� ��IICANI/�/ !/ / /n , /� � <br />/ �— �/ <br />ApORE55 <br />�"�r , rr ��2�� <br />urv ziv <br />�,.-;=z� � / <br />TELEPNONE NUMOER ALiERNAt[ <br />oai� � /�r — �� / <br />� / � -� <br />vEE <br />.� � 1978 <br />