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everen <br />I � APPLICATION FOR RI�HT-OF-WAY USE PERMIT <br />i 7YPe or prnt cleady wlth i�k � <br />PRESS HARD - YOU ARE MAKING COPIES � <br />PUBLIC WORKS � ' ' � <br />EVEHETT, WASHINGTON PERMIT NO. gv/3(cb <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:_ <br />HEREBY APPLIES FOR PERMISSION TO <br />AT THE FOLLOWING LOCATION � � � � /'�.CI) �G/7�J� <br />��- <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�d.F% /�y,lr: �Fc%, <br />(/ <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL POR INSPECTION 259-88 � 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />COMMUNiCRTIONS <br />ORPINAGE iqpFFIC <br />PLANNING <br />STREET <br />��, �-lUz� �o��/ 5'0 <br />APPROVED!- CONSTRUCTION niE <br />AP(��1{. �� !,n/1 , �(n /IV � 8 � <br />���EO FS CONS 1 UCTED oare <br />ORIVEWAY SECTION <br />� � <br />r� jl" LIP <br />�30 �� _ I_ 30�j <br />T <br />The undersigned owner hereby agrees �o �oltl antl sxve harmless <br />I�e Cily ol Everetl Irom any and all tleims lor Oamages, costs. <br />Cxpen5e5. or tau5e5 of et�ion Ihat may arlse beCause ol inslalla�ion <br />antl maiNenance ol the improvement or oiher nq�t-ol-way use <br />hereto applied for antl Iuriher agree5 b remove same upon nohcc <br />Irom Ihe City anG b replace po0hc pm0eriy damagetl Ihereby. <br />3 Ss- �3b�t <br />iE�I��[ NU�R AitERNATE <br />nnrE I -�--- <br />