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l����n APpLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � TYPe or print clearly wilh ink <br /> � PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS PERMIT NO.� .?�� <br /> EVERETT,WASHINGTON <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> HEREBV APPLIES FOR PERMISSION TO <br /> nw u� i nf`ATION � �.�1 � L�', <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> , I� !�' ._ .. ` , � - . . ... ' <br /> � <br /> I ���i ,= J� -- I..)OR�L COrv,, �'l-"_"' <br /> i <br /> j DRIVEWQY SECTION <br /> � <br /> PERMIT IS VALID FOR 60 DAVS � --� <br /> COPY OF THIS APPLICATION TO BE POSTED � I" LIP <br /> ON JOBSITE. 30�, I I 3o"_I <br /> CALL FOR INSPECTION 259-85 7 1 '�'— <br /> 24 HOURS BEFORE CONSTRUCTION 7he undersigneA owner hereby agrees to �olA and seve hermlees <br /> Ihe City ol Everelt �rom eny end ell tlaims for tlameges. tos�s. <br /> ezpenses.or causes ol ec�i0�ihe�may afise E6ceuse ol inslalletien <br /> entl maiNenance ol Ihe �mprovemen' or other nghtqbway use <br /> nerero appbcE lor antl lunher agrces to remove same uDon nobce <br /> trom me Cily nnd lo replace pu�lic pmperty EamageG inereGy <br /> DEPARTMENT APPROVALS <br /> i <br /> SEWER WMMUNiCATi0N5 �*dd ('�O� �I�'•��u,� <br /> r �. ,., <br /> pPPINRGE TRAfFlL �� , `O � / /� <br /> ��� U <br /> WqTER PLr1NNMG SIGNAtURE OF APPLiC�ANI <br /> • 5�1103 'r1�SSe�/� 2d. • <br /> aooness <br /> STREET <br /> � lvul•��.�ood /��(o <br /> CITY 21P <br /> APPROVED FOfi CONSTRUCTION �A�E _.�SS� �SO�S� <br /> . ' 1ElEPNONE NUMBER AU[NNA�E <br /> JD• ��— - <br /> AFPHOVED AS CONSTRUCTE � � OA1E OniE <br /> t[E 19�8 <br /> 6�9'�. cu�Tona�r� <br />