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� . everetl I <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with ink <br />� PRESS HARD -YOU ARE M(�KING COPIES <br /> PUBLIC WORKS PERMIT NO.� � <br /> EVERETT,WASHINGTON � <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO�� <br /> 3 ' <br /> AT THE FOLLOWING LOCATION I <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />' I <br /> I <br />( <br /> 1 <br />� <br /> I <br /> I <br /> I I I <br /> ORIVEWAV SECTION <br />� I PERMIT IS VALID FOR 60 DAVS {�--- ----"i <br />( � <br /> I I COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> � ON JOBSITE. I 30'� I � _�-3o,J <br />� •t 1 I <br /> CALL FOR INSPECTION 259-861 1 �' <br /> 24 HOURS BEFORE CONSTRUCTION The untlersignetl owner hereby a9rees to holtl and save�armless <br /> Ihe City ol Everelt Irom eny nnd ell cleims lor Oamoges, cosls. <br /> i eKpenses.or cnuses o�nction�hnl may erise�ecnuse ol installxtion <br /> ana mantenence ol Ihe improvement o� ciher ngh4ol�wny use <br /> I hereio apphed lor antl �uriber dgrees t0 remOve same upon noiicc <br /> i <br /> I Irom ihe CiIV antl to �eplace pubhc property 4nmage0 Ihe�e y. <br /> � DEPARTMENT APPROVALS <br /> I <br /> ISEWEF COMMUNICFTIONS <br /> IDRAINAGE TRAFFlG ��• : � /� ` / .� <br /> I . ✓Ja� (/I�l: l�v�li�//(/C� � <br /> A � <br /> FIANNING /�GNRTUflE O�APP��� <br /> �I WATER . �� i �'Ih ( � <br /> J <br /> PDORE55 <br /> STREET I- v.� �.J ff ���� Vr <br /> / crtr I�v <br /> T �z-,�-�� � � � - 9�19 <br /> APPROVED F C NS FUCTIUrv 0 TE <br /> I ` TELEPHONE NUMBER ALIEPNRTf — <br /> L Z� �,�,,, e i � �/��/ ��� <br /> 041E ❑AiE <br /> qpp ASCON TRUCTED I � <br /> 1978 � <br /> i CONSTRUCTION/AS BUILT ree 'i <br />