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�'VKt1I <br />Q APPLICATIUN FOR RIGHT-OF-WAY USE PERMIT <br />♦� Type or print clearly with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. C) <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBYAPPLIES FOR PERMISSION TO p7 onc ni Frn�v ri and dg,tPd 9�1AlRO <br />AT THE FOLLOWING LOCATION 3 Z 2� NQ SS 4 c/ S f <br />DRAWING (WORK TO BE DO: :) OR THREE PLANS AT7ACHED: <br />1. <br />2. <br />No material oY any kind to be deposfted on slope on <br />western property line. <br />Storm drainage to be installed and operating as soon <br />sa possible, after construction commences. <br />3. All fill material eequiring bearing capacity ahall be <br />placed as recommended in earth consultants 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 />� // ' , .b-�' �J <br />AP O D FOR CTI OALE <br />�/�- �-�`--- �-- � -� � <br />A��JVEO AS CONSTRUCTED Dn1E <br />CONSTHUCTION/AS DUILT <br />DRIVEWAY SECTION <br />I" LIP <br />30' �T_ � 30 "� <br />The untlersignetl awner hereby agrees to holtl and save harmless <br />Ihe City ol Everel� Irom any end a9 cleims lor tlama9es. cosls. <br />ezpenses. or causes ol xction Ihal may erise because ol inslalletion <br />and ma�Nenance of Ihe nnpmvemeni or other nght-obway use <br />hereio apD��ed lor ana lurihei agraes to remove same upon noUce <br />Irom Ihe Cily and lo rep�ace pubhc pwperty aamageA thereby. <br />� � <br />„�''=i'�:' � ���� <br />$IGNATURE OF AVPLICANt <br />TELEPMONE NUMBEfV A�TEflNATE <br />