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, I <br /> . '�' <br /> l <br /> !Y!f <br /> � APPLICATION FOR RIGH'f-OF-WAY USE PERMIT <br /> Type or prin�clearly with ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIG WORKS �/�/�//G <br /> EVERETT,WASHINGTON PERMIT NO. � 7 � <br /> APP�ICANT�UNDERSIGNED)AND FIRM FEPRESENTED, IF ANY:_ — <br /> HEREBY APPLIES FOR PEFiMISSION TO <br /> AT THE FOLLOWING LOCATION S L C:' �N4 �i7 ii� S/ _ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> � <br /> I <br /> I <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � -� <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 ;� ��,�30" � <br /> 24 HOURS BEFORE CONSTRUCTION rne undersiqned owner hereby egrees to holtl anA sxve�ermless <br /> the City oi Everett Oom any nnd all cleims lor tlnmeges. wsts, <br /> expenses.or causes ol oction Ihal may Anse Cecause o:installation <br /> antl maintenance of Ihe improvemenl or o1Ge� nght-ol-way use <br /> herelo apn��ed br antl Iwlher agrees to remove same upon nohce ' <br /> Irom t0e C�ty antl to replace puEl¢ p�operty tlamaged InemEy. <br /> DEFARTMENT APPROVALS <br /> � <br /> SEWER - COMMl1N�C/TiONS <br /> ORAINAGE LR4FFlC � <br /> !.�-Us.i� � ,� <br /> ��WRTER PL/NNING SIGNATU�iE JF pPPLiCANi /j".0 lJ�s-��+—�'`� <br /> �G���� <br /> STREEI /DOAE55 <br /> /� ^ h C�' G <br /> /� ,l/�- /�. �� �U CITY � SO �U I <br /> P�OR CON �'yTl N OATE �5�_iiG� <br /> /�l/ TFIEPMONE NLIMI3ER ALIERNRTE <br /> � APPR E21�'CUt::.lr+[!(.�LF'U --�`�' � I`.f'C �O R�•� -- <br />