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T ` <br /> . . r .-, M,- . _ . . - ,.- <br /> everetl <br /> APPLtCATION FOR RIGHT-OF-WAY USE PERMIT <br /> IType or print clearly wnh mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS i � <br /> EVERETT,WASHINGTON PERMIT NO.. �� �-�S <br /> � O G �`D�ri/�'�P,�ZS <br /> /� <br /> I APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY:_ / � __ <br /> jHEREBY APPLIES FOR PERMISSION TO C tl N.S'��l��-� ,�Il�l�� ��I�f' /J��' �Q�LL_L� <br /> � <br /> � _ __ <br /> �I AT THE FOLLOWING LOCATION �23 M 4 ^ ��Y _ <br /> � v ~ <br /> i DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: � �`-�`'_� i <br /> i <br /> I <br /> I <br /> ,I <br /> ii <br /> I <br /> i <br /> i <br /> I <br /> I, <br /> I' � <br /> I ' � <br /> I I <br /> � <br /> � � <br /> I iCIRIVEWAY SECTION <br /> I PERMIT IS V/LLID FOR 60 DAYS �_ _ � I <br /> �, COPY OF THIS APPLICATION TO BE POSTED �^ �Ip <br /> �, ON JOBSITE, i <br /> I CALL FOR INSPECYION 2�9—St81 1 �30,�^ __ __ 30'� <br /> ' 24 HOURS BEFORE CONSTHUCTION ' <br /> The undersignetl ormer hereby i�grees to hold nntl save hnrmlesa � <br /> Ihe Cily of EverMt Imn any :mtl all clnims lor damages, cosls. , <br /> CcOCn5C5.O�CB�ISCS OI�LIi0f1 ih.lf rtlly dfiSC bCl.�SP OI in5�311fl�iOn � <br /> �� .ntl mdin�ewn[e 01 Ihn nnprovemeni or OIPm nq^Fo.'-way usP i <br /> i heieio nppLetl lor nnd lu�iher agree5�0 remwC Sarne upon n_hCe � ' <br /> , Irom Ihc C�ty antl to re0�ett PuDhc propMty tlamagetl Inereby. <br /> DEPARTMF_NT APPROVALS j <br /> I — — � � <br /> s��vea Con�nwr��cnnorvs � � <br /> lil ORAINRGE 1NAifIC �I <br /> I <br /> I 1NA1ER PLPNNING SIGN�IURE AVP�iCPN� � I <br /> i,�--� � <br /> � s�aEer .�ronrG� , <br /> ; �� 9�aa/ '� <br /> i ���- ' �'s ,,� (,, - < ��� ��.� �` - „� � <br /> IAPP OVED FOR ON iPU �ION �/.i[ �.J`/ ` ���� — I <br /> � �l..�C.� �Et[vr��H�.i �.,u; �� ni.iEn�m*E <br /> , z i <br /> -- — ---- � <br /> nr s - ucrt>e- _ u��� <br />. -- - - __'°^'e ' <br /> � ____ C, i�i'� "� , �, �,,i �.�,i; i',L�IL�f' �t� - - - - 1978 � <br />� : <br />