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ererM <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT � <br /> Type or print clearly with mk l <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WOHKS <br /> EVERETT,WASHINGTON ��I (� PERMIT NO. /�� �'� 7-�-- <br /> APPUCANT (UNDERSIGNED) AND fIRM REPRESENTED, IF ANY: Y �J� <br /> HEREBY APPLIES FOR PERMISSION TO � ^ � <br /> _ � <br /> AT THE FOLLOWING LOCATION �l� �� �� �� � � t� — <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ��\��� <br /> ����\:1'� � <br /> { � ., ` f\�. <br /> `J " ` ', 7`��,� <br /> �' ,.:. <br /> h <br /> '`;�.� j. <br /> � , . <br /> F,�' i� fv I.�-. <br /> r' �� <br /> I <br /> � <br /> � <br /> DRIVEWAY SECTION <br /> I PERMIT IS VALID FOR 60 DAYS � --.� <br /> I COPY OF THIS APPLICATION TO BE POSTED <br /> j . . . . . , . . . l� I.IP <br /> I ON JOBS(TE. � 30" I � , L,r3o"� <br /> CALL FOR INSPECTION 259-8H 1 1 � <br /> 24 HOURS BEFORE CONSTRUCTION Tho untlersignetl owner hereby agrees to hold antl sevo harmless <br /> ihe Cily ol Everetl Irom ony pntl all cla�ms lor Camages, cosls. <br /> e�penses,or cHuses o1 action ihal may ans!'�ecause ol mslallnbon <br /> entl mdinlCn2nCe OI Ihe imprOv¢meni Or o�hCr ngnl-ol-way �rse <br /> nereto apPhetl �or antl Iwlher ag�ees lo remove snme upo�nol¢n <br /> Irom I�e G�y antl to replace pubhc prOpmiy tlamngetl Ine�e�y. <br /> DEPARTMENT APPROVALS <br /> ISEWER COMM1IUNIG/TIONS <br /> ORAINNGE TRAfFlC <br /> .��. <br /> WAtEp PLANNiNG `--�—�GNRTURE OF AFP�ICANI <br /> STREET a00RE55 <br /> � � ` `J i4 lJC 7� -. <br /> CITY ZIV <br /> (I/ZA�I.tM� . <br /> APP V � OR CON'TpUCTION onTE �, _ <br /> TELEFMONE NUM�Eti ALIERNAtE <br /> APPROVED AS CONSTRUCTED OATE OAiE � <br /> i � � �;-� �� , .,-n�,;i -,�:�: ��,_r, . �EE ie�a <br />