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-., <br /> �� .� . <br /> everen <br /> � APPLICATION FOR RIGHT-OF-WAY U$E PERMIT <br /> Type or print cleury with Ink <br /> PHE55 HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT.WASHINGTON IT NO. 7 .2 O <br /> APPLICANT(UNDERSIGNED) AND FIRM REPRESENTED. IF ANY: � <br /> HEREBV APPLIES FOR PERMISSION TO � �- � � (�CiQQ� O�i/ <br /> � ' <br /> AT THE FOILOWING L ION � y�'/ZGC// <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> '�l , _i. .n . �' . . <br /> � <br /> � �,! , � . <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � _ � <br /> COPY OF THIS APPLICATICN TO BE POSTED �� + I" uP —� <br /> ON JOBSITE. I � � <br /> CALL FOR INSPECTION 259-881 1 1�3=�-- I _30" I <br /> y� <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The undersigned owner hereby egrees to hold and sove harmic;r <br /> �he City ol Everctl Imm any and all claims lor damae�es. wsts. <br /> eapenses.or causes ol ncl�on Ihal may a�:[^betause ot msta�labon <br /> ontl mainlennn[o ol I�e impiovenim�t ci oiher righ�.of.way use <br /> hCtEiO BPPhCtl IOI dnd�uiihnr ag�eos lo rrnqni samr uf����� ����Iu.� <br /> Irom I�e City antl Io re[���n• P��ni�c �:�a::^�t•, nnn�ny��n m��n <br /> DEPARTMENT APPROVALS " <br /> I <br /> � <br /> SE�ti���� COMMUNICATIONS 1 i I <br /> �'r�t�z� �C6� � � <br /> Uu4iNAGE TRAffIL � %.. l <br /> . ane a ia:� �.,z�CQ ��.e�-�mc_ <br /> N4�iER PLANNING NAIURE OF A�P(IJ��qryi <br /> SifiE�T ��� C -/lC��� • O�/V'�V .�, <br /> AD �ESS . ��� � <br /> ���� <br /> �� e-�- ��%� �� ��;:; <br /> Crtv L�p <br /> P OVED FOR ST CTION oAtE ��� _ �j/_ / <br /> �r_!� (!� <br /> �� � �I ���y^' �� TE �HO NU�I[iEi� ALtEBNAiE <br /> � � � �9 <br /> ,�, .4...�' �� 80 <br /> APPR YE AS CONSTFUCTED �ATE DaiE — -- <br /> coris�r,� !c;nonvns ��i �ii.� ,,.� �s�a <br />