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everen APpLICATION FOR RIGWT-OF-WAY USE PERMIT <br />� TYPe or prin� clearly wlih mk . <br />PRESS HARD - YOU ARE MAKING COPIES <br />Pueuc woAKs PERMIT NO. �J�3�6 <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE fOLLOWING LOCATION � 7�� /� C�/� /G��� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />1 <br />�: <br />/ - D. /J / f'�U' /'F c/ <br />PERMIT yS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DRAiNRGE <br />WATEN <br />STREEI <br />DEPARTMENT APPROVALS <br />COMMUNICATi0N5 <br />PL/NNING <br />(_ctZTi � /-t�zc' /O// 1'0 <br />APPROVEOF CONSTRUCTION nrE <br />�v /� n ` �� �� <br />Ay J AS CONS UCTED o/.rE <br />CONSTRUCTION/AS BUILT <br />DRIVEWAY SECTION <br />I'� LIP <br />30" 30" <br />7he un0ersi{{ned owner �ereby agrecs to ho10 antl seve �armless <br />the City ol Everett Irom ony an0 all claims lor damages. costs. <br />eMpenses, or ceuses ol action Ihat may anse because ol mslalla�ion <br />antl maintenance ol Ihe improvement or oiher nghbol-way use <br />hercto apOLed br and IwIM1e� agrees to remove same upon notice <br />f�om Ne Cily antl Io replace puClic property �amagc0 I��e�eby. <br />�UCKp Il 7iio�LJ� <br />GTV ZIP <br />3 ss- �.3b� <br />tE�;��Nl11dBGR AILEPNATE — <br />C/� <br />Vv <br />oniE <br />