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�' �'9oy <br />everetl <br />Q APPLICATION FGR RIGHT-OF-WAY USE PERMIT <br />� Type or pnnt clearly wilh mk <br />� PRESS !'.'.RD - YOU AfiE MAKING COPIES <br />PUBLIC WOHKS <br />EVEFETT. WASHINGTON PERN�IT NO..Sy'_�.��._ <br />APPLICANT (UNDERSIGNED) AND FIPM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PEPMISSION TO _ <br />AT THE FOLLOWING LOCATION �?� z I��� �E k�6 �I L 6. <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIV IS VALID FOR 60 D/►YS <br />COPY OF i HIS APPLICATION TO BE POSTEO <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 iiOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SE\VER COMMUNiCaiiONS <br />ORAIN4GE � 1RPFfIC <br />� t� . <br />I <br />WATEfl .,�_ PLANNING <br />SiREE1 - <br />//l�Fi�'L�' ' � .. <br />APP F $TRUCTON. . . _ � o�/ <br />^ _ t- � <br />\ M l�'— �w� <br />-� � .��.o <br />APPT�OVED AS CONSTRUC+F� �n1[ � <br />J <br />DRIVEWAY SECTION <br />r- ----� <br />I I'� LIP <br />� 30" _�_ 30" <br />The undersigned owner hereby egrees to hold antl save harmless <br />ihe City ol Everell trom any and all cla:ms br damages, cosis. <br />eapenses, or causes ol action Ihat mny arise because ol installabon <br />and ma�n�enance O� Ihe �m0���emenl or Oiher r�ght-of-way use <br />hvrelo appbed lor an0 lurt�e� agrees Io remove same upon nobee <br />Irum me cny a�a io replacC publiC properiy damage0 Ihereby. <br />*[LE�'NO�NQE � rt3E�i �� ��1ERNATE <br />onre � — � - <br />Cpi�STRUCTION!A£ CUI�_T �E� — 1978 <br />