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1 ,� . , <br /> . <br /> ; <br /> ever <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cleerly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS 7�/y/� <br /> EVERETT,WASHINGTON PERMIT NO. <br /> P.,'�PLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPI 'ES FOR PERMISSION TO <br /> AT THE FOLLOWING LOCATION S��' IN4 �/7 ii � S/ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ; <br /> � <br /> � <br /> , <br /> � <br /> .\ <br /> ORIVEWAY SECTION <br /> PERMIT IS MALID FAR 60 DAYS � --� <br /> I COPY OF THIS APPLICAT60N TO BE POSTED ��� � i" uP _ <br /> ON JOBSITE. h3o'� �I_3o"_I <br /> CALL FOR INSPECI�ION 259-881 1 �, <br /> 24 HOURS BEFORE CONSTRUCTION T�e unEersignetl owner heie�y agrees to holtl entl seve harmless <br /> • I�e City ol Everelt Irom any and all Cleims lor tlama9es. costs. <br /> eKpenses.or causes ol oction t�al may ar�se beteuse 01 msmllauon <br /> ana memtenance Of Ihe improvemeni Or olhe� nghl-obway u5e <br /> hereto applieE for antl Iwlhee agrees to remove same uDon noLce � <br /> Iro���. Ihe City antl In repiace publ¢ D�operly damagetl Ihereby. <br /> DEPARTMENT APPROVALS <br /> SEWER ' GOMMUNILATIONS <br /> ORI.IN4GE TRAiFlG � � �� <br /> L�6s.�� <br /> WATER PL�NNING S�GNALURE O�APPLiCANi /j�,C .e <br /> �(� c <br /> STFEET I�AE55 ( � <br /> u <br /> � /�� � <br /> ,�i�— � 7— � cirr n❑ <br /> P OVEO FOR CON U TI N DaTE �5�7�//G� � <br /> � TFIEPHONE Nl1MBER ALTERNALE <br /> v� � 7 �,6 <br /> i . <br /> - APPR E CONSTR CTEO on DarE <br /> CONSTRUCiION/AS BUILT �EE �g�g <br />