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�..,• , <br /> ��� � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or print clearly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS / PER IT NO.�� <br /> EVEHETT,WASHINGTON "�� I � � F I � <br /> II I� I�n !'J 1S — <br /> APPLICANT(UNDERSIGNED) AND FIRM HEPRESENTED, IF ANY: I <br /> I �I <br /> 1 � �� �(� , v1A� � �1�.��.w c � a <br /> HEREBY APPLIES FOR PERMISSION TO I N S"1<< �"� <br /> AT THE FOLIOWING LOCATION <br /> ��Jp � ��0 7� ��✓ Q+" <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> _ � ,��.3 � /��� <br /> � <br /> � <br /> I <br /> � <br /> � <br /> I <br /> � <br /> � <br /> ; <br /> � <br /> � <br /> � , <br /> ; <br /> i DRIVEWAY SECTION <br /> i <br /> I <br /> II PERMIT IS VALID POR 60 DAVS � --� <br /> � COPY OF THIS APPGCATION TO BE POSTED N UP I <br /> I �3� � <br /> I ON JOBSITE. <br /> I � 30" <br /> CpLL FOR INSPECTION 259-861 1 I� <br /> i 24 H�JURS BEFORE CONSTRUCTION The untlersiBned ownar hereby aB�ees to hola entl snve harmleu I <br /> Ihe City ol Everelt Irom eny enE all cloims lor tlemeBes. ws�s. ', <br /> e.penses.or causes ol action Ihal mNy arise because ol mstellation I <br /> � and maintenance ol the impwvement or olher riqhl-ol-way use � <br /> I hereto�ODheE lor and lurlher agrees lo remove snme upo�nat¢e I <br /> IrOm ihe Cily an0 �o reDlace Cubl¢ OrOperry demagCtl ihe�eby. <br /> iDEPARTMENT APPROVALS I <br /> /� �, <br /> SEWER COMM�NS <br /> TRAiFlG I <br /> �— � _� <br /> ORAINRGE � / p��j� � <br /> J 'I N TUfVEOFAWII(. Ni <br /> WATER PLANNING � /� I <br /> � � 7r '�1 �y'� Z3J� 2_�� •/ - . <br /> AODRE55 <br /> STRE � _ / ��! A u y 7 I� . <br /> � � /��/ �/J ! C� 2 P . <br /> � , � � c�r� 3•5�• 39zrj , <br /> ' �� / /�, t% 7/c .UN <br /> npp D FOR CONSTFIUCT� � TE '--� � � �z / � � C�ERN tE , <br /> , TEIEPHONE NUMBEA � <br /> ' n / �- / - � I 7�z�,��U <br /> 'I ' � �� l�(^" ` ontE — on1E I <br /> yp D A CONSTflUCTED <br /> � CONSTRUCTION/ASBUILT �EE 1978 <br />