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_, <br />, <br />everen <br />e <br />�_ � <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Typc or prinl clenrly wilh �nk <br />PRESS HARD - YOU ARE tAAKING COF'IES <br />PUBLIC WORKS !� <br />EVERETT, WASHINGTON PERMIT NO. � �' <<�"' <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: -•% �'"�`�"'*" ��._�=' ' � � � �' � / <br />HEREBV APPLIES FOR PERMISSION T�J � � ' �'� � � ' ' <br />/. <br />� j 1 . . . i / � � ' /.� ! . .1 <br />ATTHEFOLLOWINGLOCATION ' �� 7 ����^ �'- �!�� ��� � ����� _ <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />;' <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 />scwen <br />DRAINAGE <br />WpT[R <br />DEPARTMENT APPROVALS <br />COMMUNIf,AI IONS <br />TRAffIG <br />I SiREE <br />������ _ C ��� ' -3-z�� � <br />IAPPROVED�RCONS7RUCTION UA1E <br />� <br />:, APPPC /EO AS CONSiRUCTED DnT[ <br />�. I'.�CI�L.� �iU�� I� <br />DRIVEWAY SECTION <br />�� t I" LIP �l <br />. <br />I 30';,�.,--- ---►�30"� <br />�' <br />Tne undersipnca owncr �erc�y ngrees lo ho10 antl snve hnimless <br />Ihr City o1 Everelt Irom any antl all claims br damages. wsts. <br />r+penses, or wus�s ol ac�ion I�aI may anse because ol Inslnllnbon <br />and mamtenance ol Ihe �mprovemant o� other uqnl-ubway usc <br />hmcto apphetl lor nntl lurihcr a9mes Io �emove same upon noticc <br />Irom ihe Cily antl Io replace public propri�y tlmnagetl Ihereby. <br />r� " ''�k��-�-- <br />tiIGNF 1NC OF AVP�IC/�N� <br />i9o� �%,�,��-��,. <br />AppRES:. <br />L�J�/ICT�� �•�l Jii2DS' <br />cirv nr• <br />.�riS-c05Sr Z.�-(���%% <br />1ELCPI�ON[ NUMO[R �L1EqNAlE <br />�`1 �ecN l3 . /g�D -- <br />DRi[ <br />. . q,. .. � ' s " S�„ ^`3 _. "� 1tM.*�"��"�'f y'� <br />.��r � r 2: <br />� � y�( !'e � rM.� 9 !i ti'4a 7le L > p pv .. <br />�'2r��S�,F�r�� �'.y{y� . .. ..��. r �... �. xd+ f i,try�k� � i�� � j• <br />. . . )�^ n. 'F. � _ � . - .. �'l.. . , �i{ j �..a _.i._a _ _. <br />