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� �. ,- 1� — <br /> I <br /> -- veretl <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � � TyPe or print clearly with ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. � �S <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: - - <br /> HEREBY APPLIES FOR PERMISSION TO U S/•� �' l�� "l� �// rr}�-ys-,F.�r�% �l ��%/'`�/ �I-P�/'F�"�J <br /> AT THE FOLLOWINGZOCATION �/n���� ���- � / � /" CG I� /�/'�e � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> CONDITIONS <br /> That portioa of the driveway within the right oP waq must be paved. <br /> Power oi Attorney required. �T � .�^� ��` <br /> �� `�' , �,�' <br /> I <br /> � <br /> DRIV�WAY SECTION � <br /> PERMIT IS VALID FOR 60 DAVS � � <br /> COPl OF THIS APPLICATION TO BE POSTED �� ; I" �la <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 �30 'T _—�.30" <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The undersigneC owner hereby aBmes to holtl entl save�ermless <br /> Ihe Cily ol Everel� Irom any and all claims lor damages. cosis. <br /> I expenses.or ceuses ol action I�al may anse because ol inslallal�on <br /> an0 rpamtenance ol t�e �mpmvement or olher r�gh4o1-way use <br /> I nereto appbe0 �or ana lurther agrees to remove same upon nonce <br /> Iwm Ihe Qty ana to replace pu�hc property tlamagea Ihereby, <br /> DEPARTMENT APPROVALS <br /> SEWEP � COMMUN�C4TiON5 <br /> ORAINRGE TRAFfiC / / � f <br /> Lri ' % '"-�—J <br /> II WRTER PLRNNING IGN RE O�AFi'1,1 ANLV <br /> /� l���� .�,1 {.G4� O ���P Jf' <br /> STREEi AOQRESS �> <br /> �� xlip�� ,-`6` .i.�%�fe , Z pl',� o l� I <br /> _-�' �y" ,�kL�'- 9/P/So <br /> nPv vEo � cbNs nucnoN ❑a,E �r5' - f�% s <br /> � iELEFMON[NUMpLl1 �LI[RNAtE <br /> � .�,. ��°��,_ �' �U 6 �J� � - <br />