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everen <br />� APPLIC�4TION FOR RIGHT-qF-WAY USE PERMIT <br />Type or print clendy wrth mk <br />FRESS HARD - YOU ARE MA!:ING COPIES <br />PUBLIC WORKS O /� <br />EVERETT, WASI'�': :iJN PERMIT NO. <br />APPLIGANT (UNDERSIGNED) AND FIRM REPREStNTED, IF ANY: _ <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING '_C��CATION <br />2S/6 /-l-� /?oc,�r�nl��r .�cJc <br />DRAWING (WORIC TO BI: DONE) OR THREE PLANS ATTACHED: <br />��� ' /� / � �t <br />� �, <br />�� -�' r���-e� {/�. �:; ; �'t, � � �'.�„� (u �,��, <��iE r t� /�7i .: ���,�: -�.w F.�,�tL.�c. �-�� � <br />, <br />�� ����� <br />J <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />QN JOBSITE. <br />CALL FOR INSPECTION 259-8131 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWER <br />DIi/iNAGE <br />STREET n <br />+� r <br />JOMMUNIC4TION5 <br />DRIVEWAY SECTION <br />� <br />�I" LIP � <br />r30�� 30�� <br />The untlersigned owner hereby agrees to holE and save harmless <br />Ihe City of Everett Irom any entl sll cliims lor tlamages, cosls. <br />eMpenses, or causes ol action Ihat may ause �^cause ol installatmn <br />antl ma�ntenance of t�e impiwement rr o�lier nghbol-way use <br />hC�¢�O aOV��ed Ior Bn0 �urihpf agre¢510 remOVC 52mC upOn nol�cC <br />Irom Ihe C�'�• anE to repiace Oubiic Omperty 4amnge0 Ihereby. <br />TRAFFIC ` <br />C/ �a,....,_,_,_` <br />PL/NNING SIGNPtUPE OF pPP�ICnNi <br />� 5— z u %� u c/(� �� //-� .— <br />ADDRE55 '� // (/ <br />/�� L J r J 7% � N- 't� / iJ � U/ <br />� - �- l) -Sl v <br />. (� <br />rrc ��( �G U (� <br />CONSTRUCTION/AS BLIILT <br />2s-y-z �>- � <br />iELEP��O�[NUMB A FLiLRNA•E <br />o� �' !% --_ _ <br />� <br />