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,L_ :�. <br />everett <br />Q aPPLIC„TION FOR R�Gi:T-OF-WAY USE PERMIT <br />� Type or prinl clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. C� �''� <br />APPLICA�IT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �� SiAT/ �GA�SO/�� <br />HEREBY APPUES FOR PERMISSION TO / a./(IL �—�� CJ ��•`''f �/t�/�/ t�/���� 1L(� (� �' � f�"'�(, <br />i ' <br />�C /C�"I(ll � �'"l(.-��1 i/�'; �C,.�. <br />AT THE FOLLOWING LOCATION �/ �7 M��,a T� O �L. l/D <br />DRAWING (WORK TO BE DONE) OR THRE[ PLANS ATTACHED: <br />�� <br />i�ERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 t <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DRAINAGE <br />WATER <br />/ <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TRAiFIC <br />P�ANNING <br />CONSTRUCTION/AS BUILT <br />ORIVEWAY SECTION <br />� j I" LIP -71 <br />�_ 30" � J <br />� <br />�T 30", <br />Tho unEersignetl owner hereby agrees lo hold ;.ntl sava harmless <br />Ihe City ol Everell Irom uny and ell claims lor Oamages. costs. <br />expenses. or causos ol aclion IhAI mny erise Decause ol installetion <br />anE maiMenance ol Ih? improvemenl or oiher ng�t-pl.way use <br />he�ato apPLed lor antl luriher agrees lo remove same upon nolice <br />Irom Ihe Gly and to replace pubhc Oroperiy Oamagetl t�ereby. <br />.3-.ss-� Zsg-� ��') <br />1ELEF O E NUMBER ALlERNAiE <br />��N l3 /9&� <br />0.1iE <br />