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�Veftn d�PPL.ICATION FOR RIGHT-OF-WAY USE PERMIT <br />� TYPe or prin� clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT NO. T Z <br />EVERETT. WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEFEBY APPLIES FOF PERMISSION <br />AT THE FOLLOWING LOCATION � � � <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />. LJr„1 �{—� <br />� �'�/��� �U� a,�u-f.�.r�,u � ,�, / � j,� <-(/�-E-�� � I � �` � -���_r-r_ �e <br />„ � <br />`� , � � � � �� Lti��.'uh L`%l/��< <br />� ���� ��-"�-�:' �- �.�c�: f-� � � <br />� ,a,� j I- e,�-�- ,�-�-a-�- ��� �.�.u.��� n-�" c� �� �� ,� �� 3 y � ,� <br />��n� �� <br />' <br />�-cX.l' ` <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CpLL FOR IHlSPECTION 259-881 1 <br />24 IiOURS BEFORE CONSTRUCTION <br />5[WER <br />ORAINRGE <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />PIANNING <br />� 30_7 <br />� <br />DRIVEWAY SECTION <br />I'� LIP <br />�30�� �- � 30" <br />The untlersigne0 owner hereby egrees lo ho10 ena 5eve hermless <br />Ihe CHy ol Everetl Irom any end ali claims lor Oomages, cosls. <br />evpenses, or causes ol aclion lhat may arise because ol in5lallalion <br />antl maiMemnce oi ihe improvemenl or olher ri9hLol�way use <br />herelo apPheO �Or an0 �urihei agrees �o remwe same upon noUce <br />irom Ihe Giy and IO repldcc publm pWOPrly OBmeged Ihereby. <br />��.u.�o� vY <br />�\ <br />��r. <br />noN onTe <br />. TELEPMONE NUMOCP ALIEANAIC <br />� � � F�nc �� __ — <br />CONSTRUCTION/AS BUILT <br />