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� <br /> �\ <br /> , - <br /> � �i <br /> � SC � :" � J !� �` � � <br /> everett ' <br /> • Q APPLICATIOfd FOR RIGHT-OF-WAY USE PERMIT — <br /> v Type or print clearly with ink <br /> _� PRESS HARD-YOU ARE MAKING COPIES <br /> PUBLIC WOfiKS <br /> EVERETT, WASHINGTON % . <br /> PERMIT NO. 7 � JG�.�. <br /> APPLICANT (UNDERSIGNEU) AND FIRM R[PRF.SENTED, IF ANY: <br /> I HEREBY APPLiES FOR PERMISSION TO _ <br /> i <br /> I <br /> � <br /> AT l"HE FOLLOWING LOCATION_ J <I! � � - �' :� � � <br /> DRAWING {WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> �� � � ` � - <br /> 2 �_ <br /> � 1 Q �_ ,,�� . .J � I <br /> � <br /> ., ' \ <br /> r�(1 � ; � � �, r-� � - - <br /> � <br /> � j <br /> i I <br /> � � , <br /> . I <br /> � <br /> � , <br /> � DRIVEWAY SECTION ( <br /> PERMIT IS VALID FOR 60 DAYS � <br /> i ,� <br /> COPY OF THIS APPLIC/1TION TO BE P0�5TED'� t • � 'f' 'LIP ' ' ' <br /> ON JOBSITE. I <br /> CALL FOR INSPECTION 259-861 f I�30`l - -►I 3• oyj <br /> t <br /> 24 HOURS BEFORE CONSTRUCTION <br /> Thc undersigned owner herebp agrees to hold antl snve hmmless <br /> �ho Ciry ol Evemit Irom nny antl all claims lor damages. tosis. <br /> ew0enses.or causes ol action Ihat may anse betause al inSNllation <br /> antl mamtenance ol t�e imprpvement nr otner nghl�ol�way usc <br /> �crMo appLeC lor antl Iur�M1er agrees to removc sdme upon notrec <br /> Irom t0e City an0 lo repiace puDlic property Oamaged IOereby. <br /> DEPARTMENT APPROVA�S <br /> ,,. <br /> . ,., ,p.,.. <br /> � SEWEP COAIh1UNICATiONS ,.. .... �-��- 1_It�t'1�.� I � ...-J <br /> • /_/�� � � <br /> DRAINAG[ TRAFFIC • •. ., t�� L�� �/��� ' ( �/ <br /> �._ � �� ,� � ��-�- <br /> , <br /> i N'ATER PLANNiNG ��'1 . SiGNATURE O�ACF i;p 1 " _— <br /> �^� . ,;��:�' ��.� .; ' ,� � -.��,,,r� . <br /> STIIEET L _, ��_ ����ADURE55 l 1�' f/ <br /> ' y %•t_�/ ��! f� �/ <br /> Liiv ZIP <br /> � APPROVED FOR CONSTRUCTION ontk " !� ) _ �/Gj� <br /> � <br /> iEIEPHpN�NU641EI1 q���iiNp�E <br /> / / <br /> � <br /> nPaHoveo ns�'"otisTqucren r:,r ,—"— --------.. I <br />