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r � , <br />everctl <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or prinl cb�rly Mlh mk <br />PRESS HARD - YOU ARE MAKIN3 COPIES <br />PUBLIC WORKS <br />EVERETT. WASHI�GTON PERMIT NO. ��% <br />APPLICANT (UNDERSIGNED� AND FIRM qEPRESENTcD, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING IOCATION ��' Z' � A'�� /7�, <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWEF ��q COMMUNu»10.,N�., <br />L : '' <br />_ ��q�� <br />ORAINAGE �`� �fRFiIG <br />.a <br />STRE6� -- — <br />I � i?f'� l � <br />��— .--"'—� <br />., <br />_� <br />Vl ANNMG <br />� <br />i1M� / ^� <br />'Yi / � i/W � / <br />C.�c/ �r <br />DRIVEWAY SECTION <br />I'� LIP <br />30" _ J�30'� <br />-i <br />The un0ersignaA owner �ereby ogrees lo hold enE seve hermless <br />�!�e Clty ol Everett Irom any and all clnims :or tlemeges. costs. <br />e�penses, or tnuses o7 nclion I�ai may anse because ol msitllat�on <br />nn� ma�nlenance ol Ihe improve��ent or olher ng�l-ol-way use <br />M1erclo appLcA br , ntl hulha agrce5 IO remOVC Sdme upon n0�¢e <br />Irom �M1e Ctly antl �o replaCc public prpperty Camaged Inrre�y <br />� � <br />l :,' ' � t <br />-.� � �; <br />SIGNr1tURE Of ,�PPLILnNI <br />` 1 � ��? v1 \`�4. . <br />RDORE55 1 <br />�'( 1 J r� ! 1� � 1 a�' � J <br />CILV y I�P <br />�55 3��C'-� <br />� lEnnONE NUMBER ALIEFNATE <br />3�������1 <br />onr[ <br />CONSTRUCTIOI:/AS BUILT rEe <br />_�z_ �.. ...'£ .t:.. ... �. . . � . . .. e . �.-0ah4ra,G�t•t <br />1978 <br />'i34 `� <br />