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! - — <br /> I <br /> everetl <br /> � APPLICATIOI�' F�OR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with mk <br /> PFlESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS ���jjj��/ ' <br /> EVERETT,WASHINGTON PERMIT N0�I1 � <br /> APPLICANT (UNDERSIGNED)AND FIRId REPRESENTED. IF ANY: �}^?/l.G/ ��� / <br /> HEREBY APPLIES FOR PERMISSION TO �.�.--��cr�,�' � -� ,��-/(��,�;.t,�FJ� I <br /> �� o <br /> AT THE POLLOWIN��N � <br /> 3f�/O-/��S . F��•���if Ccia, Y6'?c/ <br /> DRAWING (WORK TO BE OONE) OR THREE PLANS ATTACHED: -.. <br /> . ti <br /> D�w y s �.t�.G�.�� -. -..,,� <br /> w � <br /> .� �-V� WCLL t�o� i �1 ���c._Ff� '� - <br /> .� <br /> � ,�,.,� c,l �. �.;, �s — �.,` (�;�,Q-� � �,e"��e'` - , <br /> .,.� �`•-... <br /> � <br /> I <br /> DRIVEWAY SECTION <br /> � PERMIT IS VALID FOR 60 DAYS I <br /> � � � I <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP I, <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 30" ��30'; <br /> � 24 HOURS BEFORE CONSTRUCTION The un0ersigned owner hereti agrees 10 hold and seva hermless <br /> Ihe Cily ol Everett M1om any and ali claims lor tlamages, costs. <br /> Cxpenses,or causes ol action tl:at may nrise beteuse ol insiallntion <br /> and mamlennncc o� the improvemenl or ot�e� ngh4o4wny usc <br /> �erelo applieE tor and Wrt�er,grres lo remove samc upon nobce <br /> Irom Ihe Ciiy antl to replace pubbr pmperry damagetl Inereby, <br /> DEPARTMENT APPROVALS <br /> i <br /> SEWER CUMMUNICATIONS I <br /> ONAINAGE TRAFFIC ' � <br /> WRTER ' PI. �NN�NG S�GNPTIIR[OF ACFIIC i � <br /> i /9 3J ✓�e,�-..�,-,-,� <br /> sr� . ; � nooa s_ ^ <br /> i �- �';• � k �.�-na i./.v <br /> / /'e� I <br /> � ' a� `�"'�� p c L r�n I - <br /> PPR EO FOR CO TRU ON o t[ <br /> �� -3�3,-'Y,-���3�--- ---���.�, , <br /> � <br />