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_ �`\ <br /> _ ` <br /> — � <br /> eVtfen APpLICATION �OR RIGHT-OF-WAY USE PERMIT <br /> � TYPe or print ciearty with ink <br /> PRESS HARD -VOU ARE MAKING COPIES <br /> PUBLIC WORKS ` y 7 <br /> EVERETT,WASHING70N PERMIT NO. �v �' <br /> �� . . -1 . _ . . . <br /> A?PLICANT,�I�NDEF�5IGNED)AND FIRM REPRESENTED, IF ANY: � — <br /> � <br /> HEHEBY APPLIES FOR PERMISSION TO <br /> AT THE FOLLOWING LOCATION �I�O P/.f/E ST E!/f%PE7T� L�JA /�z�� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> � <br /> � <br /> � <br /> I <br /> IDRIVEWAY SECTION I <br /> I� I <br /> I�ERMIT IS VALID FOR 60 DAYS � -� � <br /> i <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP �, <br /> I ON JOBSITE. �30" _L3o" � <br /> CALL FOR INSPECTION 259-881 1 <br /> I 24 HOURS BEFORE CONSTRUCTION Thc under5i9ned owner hereby agrees to hold an0 save harmless <br /> Ihc City o1 Evcrell Imm eny and all claims �or tlomages, cosis. <br /> i e�pensCS,or CauseS ol nction Ihai m0y arise 7CCau5c UI inStalluiiDn <br /> dnd mBinlenenCC OI thC �mpmvCmeni or O�hCf ngh1�0�-Way u5e i <br /> �crcio app��ea lor nna lurihc� agrces to remo�c same upon nohce <br /> Irom �ne C��y a�d Io reDlaCe publ¢ property Odmage0 Ihereby. <br /> DEPKr�TMENT APPROVALS I <br /> ISEWER GOMMUMCA�IONS i <br /> II � TRAiFIC � ��� ///���� II <br /> ORAiNAGE � V <br /> � • <br /> I <br /> PLPNNING SiGNRtI,HE 0�AVFLiLF ,� �� <br /> WATER ', � :i r;��i I•. . �� � <br /> � � <br /> PUU��ESS <br /> SifiEET . . , ' .` . • . , <br /> � <br /> CILV 21P I <br /> %�= � .�— y/y/�o � � � <br /> i qPPpOVEDf R CONSTRUC�ION OnrE I <br /> � , \ n ' / � % TEIEVHONE NUM9E� ALIE�MA�� I <br /> ,� � � ; � ,, � � l _ � <br /> �J L-����; aQ-c onrE <br /> pP A VEU AS CONSTFUCiE ' �p�E <br /> �� � <br /> �' i •._ --_'_ ���8 <br /> ` CONtTRU�^l IQf`!i^.� �JI!S <<� - -- - <br />