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� <br />4verelt <br />_� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print cleerry with mk <br />PRESS HARD - YOU ARE MAKING �COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTO�i PERMIT NO. �����` <br />APPLICANT (UNDERSIGNED) AND FIRIA REPRESENTED, IF ANV: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION 23 � y w �� �� l�� � �� V� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPFCTION 259-691 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPR6VALS <br />SEWER CCMMUNIUT�ONS <br />DRNINI.GE Ti�RFFIL <br />��i . , <br />WPiER f. . � PLANNIHG � . <br />l <br />STREET . � ) ' <br />/ �:'�I 1 ..�', 7 E�j.L�� <br />RTE <br />DRIVEWAY SECTION <br />� <br />� I" LIP � I <br />L30 I T 3_� <br />r <br />The unEersi9natl owner herc�y egrees to �old entl seve hermless <br />Ihe Cay ol Evarett Irom ony end all claims lar Cnmagos. wsts. <br />eRpenses. or ceuses ol ectian I�at mey arise because ol mslallalmn <br />pnd main:ennnce al Ihe �mpmvemeni Or olher ngh4ol�w2y u5r, <br />hc�elo app�md lor nnd Ivnher ag�ecs to remove samc u•;on notme <br />hom Iho Cily an0 lo ie0lace pubbc ryop=ny aamagea Inereby. <br />!� ��nl � 5%�lel �.1 C- <br />// �� <br />dG P ll ANI <br />/ . !/, /�oY �lJ <br />� <br />�i�n �li�/»r � �� L -- <br />CITY Llr' <br />APPR VEDF P O f�Z1 N -_.. � <br />V-� �U ��^..........•.. / � '��,:IELEPNONENUMDFR . ALiEriNA1E <br />.lr!':G-r.'i, , r� 1S 17�� � I / � � ��-� � /� <br />APPflO ED AS CONS UC � ��E �'�� � <br />/ � � =` c� J <br />CONSTRUC i ION/AS 6UI�T ,�E 197° <br />