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�� <br /> ` � nren <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print c�early with ink <br /> � PRESS HARD - YOU ARE MAKING COP�ES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. 3�� <br /> APPLICANT (UNDERSIGNED)AND fIRM EPRESENiED, i� ANY: � <br /> HEREBY APPLIES FOR PERMISSION TO � <br /> / • I <br /> AT THE FOLLOWING LOCATION I "/� 7 A — D c ' `7 /' G/7� A V[° II <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> P�,., r�-�,,�,�1 �:�� ��,���-��,1-t-r� ,�i.-�� <br /> ��-c� / �' � � " �� <br /> � <br /> � <br /> � <br /> ; <br /> , <br /> � <br /> i <br /> I <br /> , <br /> , <br /> DRtVEWAY SECTION <br /> I <br /> PERMIT IS VALID FOR 60 DAYS <br /> � , � � , � <br /> COPY OF THIS APPLICATION TO BE PO�STED�` �— +�i�'p <br /> ; ON JOBSITE. l_30'� _L3o" � <br /> � CALL FOR INSPECTION 259-881 1 � ' <br /> 24 HOURS BEFORE CONSTRUCTION ' <br /> I The ondersigned owner hereby agrees to holtl entl snve hnrmless � <br /> i�e City ol Everelt Irom eny entl all clmms lor damnges. cosls, <br /> I , eapenses.or wuses ol act�on Ihal may anse Deeause ol�nstauaimn , <br /> I dnd maintenance ol �hc �myrOvemeni or OIhCr nghi-oLwdy use i <br /> herclo aOP��e4 br an0�ur�her agices to remove samc upon nouce I <br /> Irom ti�e Ctly an� tu �eVlace pu�hc property Oamagetl Inereby. i <br /> I DEPARTMENT APPROVALS <br /> II SEWER COA1RWNiCATiONS / � <br /> I "`��` `� <br /> UPAINRGE 1RAFFlG `�, . ... // �l� . � <br /> U � <br /> � ...... �SiGNaiu��[o[ a����uCntit ^ I <br /> i \YATER PLRNNING 2 /�'' //� <br /> / � <br /> �6 y ;T�o I <br /> nooyr+Es� � ,/ �/J' �/] �I <br /> ; S,REET `-'f/�-.•�1�. . (N �� / ��v/ , <br /> / /; J }/'� ` I I <br /> � "�-�� 1� J'.��� lO�l V - � 7 I � i,Crtv I:c <br /> � , •-' � � 5`>- //�� � <br /> I PROVED FOR ST U ION OniE � � ^ <br /> ' '_ —_' � <br /> ' / � . iELE�NCN.NWdP[�� a�iC�Nnit <br /> � ,,,,,,������,�:,,;,� .,�„ �L�uG _8 0 �?/ �9_ - <br />