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- � . <br />. �' <br />�er� APPLICATION FOR RIGHT-OF-WAY USE PERMIT '� � <br />� Type or print clearly with fnk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLi: WOflKS <br />EVEAETT, WASHINGTON PERMIT NO. <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANY: /'� �.��OC D !� U�Pp ���? <br />HEREBY APPIIES FOR PERMISSION TO �� � P ��� r� �N(� Ii/�/UP /�AY ���✓EL - <br />� <br />AT THE FOLLOWING LOCATION �3�9 �%1N�/L �/O I.�L dD F�iP�f�7> <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�"Onc%� � ���S <br />— ^ dr�.'u�w�./ ��. f�i,>, r� <br />//ic t"'�o� t: <>> vt <br />/'.��i�' O� i�G� /�7c�S7— he, JOGve� <br />� l /' <br />�/�,l-twG� MUSf_ D/'UU.� <br />sLor /J�r. I O/'Oein N <br />� b<,�k >�4 c. o:���!' �„ <a <br />piri,�. %%<-� is .�u � / <br />/hN�e.•I�� ijI✓�! <br />PERMIT IS VALID FOR 60 DA�/S <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-681 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEli <br />DR�INAGE <br />WAiER . <br />DEPARTMENT APPROVALS <br />COMMtINICAI�ONS <br />TRRFfIC <br />PLANNING <br />til f��"1 r n �,�] ti_, rj <br />STPEET I -� .� .. -.�� ..� �.! � � <br />� �. . � � � i <br />�A*F <br />ORIVEWAY SECTION <br />� -� <br />L � I'� LIP <br />�30�� _�_30"_� <br />The undersigned owner hereDy egrees to holtl enA eeve �ermless <br />Ne Cily al Everett Imm any end all cleims far tlamages, cosls, <br />espenses. or causes of eclion inel mey ari9e because ol installebo� <br />an0 ma�ntenence ol I�e improvement or other ngh4ol-wey use <br />nerelo apv��ed Io� ana �uriner agrees to remove same uoon noUce <br />Irom Ice Cily anE to �e0�ace puChc Oroperty Oamnge0 I�ereby. <br />� <br />v_cl.a.— <br />IG �ATURE OF APPLIC/•�'1 <br />-�;�y �,��ro l.Pcdv <br />ADOHESS <br />F�.P,t� -s> u/.� �l�20 3 <br />UTY Z�P <br />TELEPHONE NUMBER ALTERNRTE <br />'LI <br />iu <br />