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— �J//�/Z�i � <br />everetl APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� TYPa or Print tlearly wflh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBUC WORKS . _ n PERMIT NO.�iL�— <br />EVERETT, WASHINGTON , � L . <br />� r � � � � ���,� <br />%��I'r �J� .�-/�- <br />APPUCANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: I ___ , o i i 1/n .� � r Y1PW G'arQ�e' <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOW�NG LOCATION 1�� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CpLL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWEP <br />0�/iNAGE <br />WRTER -- <br />STPEET <br />COMMUNIC�1i�ON5 <br />iRRfFlC �_ <br />/^ �: i ;� iQ <br />��'' . )ln�lNING j �J �1 �' <br />L <br />�r,., . <br />J ...� r 3R �� `1 .,i�/,V��� t <br />i� � � 1 <br />onre <br />CONSTRUCTION/AS dUILI' <br />DRIVEWQY SECTION <br />i <br />I'� LIP <br />I 'i0 � _�30" <br />re w.dersigned owner hereby agrees to hold ann snvo harmles5 <br />I�e Cl)' of Everett Irom any enG all cleims Im demages, cosls. <br />eMpensee. or wuses ol aclion that may arise bewusc ol mslalla�` se <br />anA ma�Nenance o� �he impiovement or olher nqM-o�-waY <br />hereto appLed lor and �wther 0grees lo remo,ve �S�magcoothe eby <br />irOm ihe C�ry and lo �Cp�aae pubhc p�op 1' <br />1 <br />Lltv <br />Z< <� �i �� <br />nu[nnni[ <br />TELEPNONENUM�ER <br />1 <br />