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ever�fh <br /> � AF�PLICATIOi�� FOR RIGHT-OF-WAY USE FERMIT <br /> Type or prinl cleerly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS 7r'�/c//� <br /> EVERETT.WASHINGTON PERMIT NO. � <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO <br /> AT THE FOLLOWING LOCATION �2 P �N! I���� �- S�� <br /> DRAW'NG (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> . I <br /> I <br /> • I <br /> I <br /> I <br /> ORIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED � f' LIP <br /> ON JOBSITE. I <br /> CALL. FOR INSPECTION 259-881 1 r30�t' ���30"�� <br /> 24 HOURS BEFORE CONSTRUCTION The under5igneA owner hereby a9rees lo ho10 entl save�ermless <br /> Ihe City ul Everott Imm any antl ell claim5 lor tlemeges. tosl5. <br /> expense;.or�auses o�ection t�nt mey arise 6ecause ol installatwn <br /> anE mamtennnce ol Ihe improvCmenl or oiher ng�t-ol-way use ( <br /> � nemto apP��ed br and lurtner agrees lo remove same uvo��ot¢e ' <br /> bom t�e City dn0 to replace puDhc property tlamagetl IherEby. ' <br /> DEPART�iENT APPROVALS <br /> SEWER COMMUNI;nT10N5 <br /> DRRINAGE TRAFGIC . <br /> ,.--,..� � //�,�� <br /> �yq7Eq PLRNNING SiGNATURE Oi PPPLICANT / ' <- C�•-� '� - � <br /> i . / /�'� <br /> (�- � � , . '� /(!�� / / �-/-2. c{-�.. <br /> . � ' 1 <br /> STREET ' ' � AOOFE55 . <br /> �./� y �-� �� ���u / <br /> � (/ A � O/, ' <br /> CI A.i�/ .. Y ," ^"� /� '� A , I CRY � ZIP <br /> l% IJ V <br /> P OVED FOq CON UCTI N DnrE � y�'- // G�� <br /> "" �� � 1ELEPHONE NUh1BER FLTERNATE <br /> � ... , <br /> APPROVED AS CONSTRUCTED ' ' DnrE DaiE <br /> R��GRENC:ECOPY ree �g�g <br /> �,t . , . ,..<. �,,,.:x. ::«.s:_;., <br />