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.. . .. .. y.- . <br />lVerlM <br />APPLIGATiON FOR. RIGHT-OF-WAY U5E PERMIT <br />� TYM of Print ebarly wilh ink . ._ , <br />� � PRESS HARR - YOU ARE MAKING COPIES <br />PUBUC WORKS ' ( , Q'/� /� <br />EVERETT. WASHINGTON PERMIT NO.��ti� <br />APPLICANT �UN�ERSIGNED) AND FIHM REPRESENTED, IF ANY: �� �, <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLIOWING LOCATION � <br />ORAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: �� �_ � I_go <br />W o ;Z t� �J ° <br />rJ �_ <br />�� o <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEA <br />ORnINRGE <br />wnten <br />DEPARTMENT APPROVALS <br />GOMMUNiCAT10N5 <br />LqAfFIC <br />�LANNING <br />ST9EET <br />��_�� l- �8�-�0 <br />PR VED FOR C TflU TION �ATb <br />L 4' � b 0 <br />APP E AS CONgTR CTED T� <br />�� <br />DRIVEWAY SECTION <br />w <br />I I <br />I <br />j I,� LIP � <br />�3p�' I �1 30" f <br />'t T 1 <br />The unCnrsigned owner hereby agrees lo �old antl save �armless <br />�he C�ty ol Everet� 1rom any and �II ci3ims br dameges, cosis. <br />e*penses. or wuses ot action Ihat may nnse �ecause ol inslallnlion <br />anU maintennnce cl I�e improremCnl 0� o�her ngh4o4w3y o5C <br />�ereto apphed !or anU furthei agrees to remove same upon noticc <br />hom Ihe City and to reDlace pubhc proD�rty Oamaged Iheieby. <br />%r�ac/C ��)v�S/-F�i:�.��' VIE'�S�r✓ IIC <br />' , <br />���( {�. � ,� � � ` <br />Si .ryqiU��E 01 APP. ICRNI <br />� // % �—�i - �c. �,. /,�,� �v e� . _ <br />noones� ✓, _ �/ �Vm n �i Z / <br />� i4 \ ' � <br />�,—,. Z�� , <br />LE� MO��MBER �L1EAN�iE <br />C)F � <br />CONSTRUCTION/AS SUILT «E <br />