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everetl <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly wilh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO.� <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEFEBY APPLIES FOR PERMISSION TO ++7 ono nnnrnvc+d �d rigtPd �7 g%RO <br />AT THE FOLLOWING LOCATION 3 Z- L� I�I Q SSG c/ S f <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />CONDITIONS <br />1. No material of any kind to be deposited on slope on <br />westera property line. <br />2. Storm drainage to be installed and operating as soon <br />as possible, after construction commences. <br />3. All fill material eequiring bearing capacity ehall be <br />placed as recommended in earth coasultants soils <br />report. <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />COMMUNILAT0. <br />APPROVED FOR CTI I �— ' DniE <br />Ck�'/L(1,�.�.`- �-" � -�� � <br />A�l7JVED AS ONSTRUCTED DATE <br />l b �.• <br />DRIVEWAY SECTION <br />� � <br />I'� LIP <br />l_30 � � 30 � <br />� �T'� <br />The undersigned owner he eby egrees to hold and save harmless <br />�he City ol Everelt Irom a�y xnd nll clnims for aemages. costs, <br />eRpen5e5. or CaU5e5 oI ed�vn t0al may ari5e betouse ol inSlalla110n <br />and mainienance ol Ihe improvemenl or other rign4ol-way use <br />herelo a0Phe4 lor Jntl furt�er agrees 10 remove sanc upon notice <br />Irom Ihe Ciiy an0 to replace publ¢ proper�y Eamnged Ihereby. <br />��;�/�,:% <br />SiGNPTU�E OF APGUGAN� <br />iELEP110NE NUMF3ER ALIERNATE <br />