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everen <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WURKS <br />EVERETT, WASHINGTON PERMIT NO.��' s� <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �i�/YL ^S I /-[ ! J(� L CT �� <br />HEREBY APPLIES FOR PEFMISSION <br />ATTHEfOLLOWINGLOCATION___��%O3 W �!iL//ULTKn �LU� <br />DRAWING (WORK TO BE DCINE) ON THREE PLANS ATTACHED: <br />/ ��% ��„t�lvl..�,/�-il.�-!X y � / 'J`"�'�"`!�- � .� / ���' <br />�� � � U <br />���UC/l�✓! � l.J/ct. /�t.�`-R'n7�jJ� /r /1/�y <br />On% /�c�f3G/L .C/Ck�r- Or !�I/1 f. <br />% 2A�riL ,Or!nliLniir✓/<� NO i2/�i4s Oi iii:� <br />%r-/Uhi•l Oimdn�sics�s /lOU6d �f /-�LLJGd20 <br />�a��u�,— ��N; ,x,�,� � y w�,,�ti ��,�.v, <br />�� <br />PERMiT IS VALID FOR 60 �1AYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOE3SITE. <br />CALL FOR INSPECTION 259-851 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEA <br />DR��NAGE <br />WATER <br />STREET <br />DEPARTMENT APPROVALS <br />COMMUNIC! Ti0N5 <br />TRRiFIC <br />P� 4NNiNG <br />APPROVEO FOR CONSTHUCTION UAiE <br />APPROVEDASCONSTRUCTED D/.iE <br />cU STO;�.' �I� <br />DRIVEWAY SECTION <br />� � <br />I" LIP <br />30'�t' �1'•3—'�l <br />7he undersigneA owner �ereby agrees to holtl entl seve �ermless <br />Ihe City o� Everelt Irom any antl all claims �or Oema9es. cosis. <br />c.penses. or causes ol nclicn ihal may arise bewuse o� ���stallabon <br />and mamlenancc ol I�e �m, wvemenl or olhcr ngh4ol-wny use <br />herelo o0PLe4 lor tntl Iurine� dgrc�5 lo remove 5ame upo� nobce <br />Irom Nc Cily ana to repiace put�lrc property aamaqcd �hcreby <br />S ��- � `i �O <br />1ELEFnONE NUA�OER A�tERNA1E <br />p�� �-l= � �--,L��'J - <br />1978 <br />