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everen -. <br />� APPLIC�RTIQN FOR RIGHT-OF-WAY USE PERMIT <br />Type or p„��t clearly wtlh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT NO. �� �¢� <br />�VERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRFSENTED. IF ANY: �� �/��'� -� T C�/ - <br />HEREBY APPLIES FOR PERMISSION TO <br />F <br />F <br />AT THE POLLOWING LOCATIOIJ 7� 2 2 �a�� ��� //P� <br />DRAWING (WORK TO BE DONE) OR THREE PLANFi ATTA HED: <br />� , -_... v� � f, �� � � � � <br />�IJ <br />� <br />L e� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 25J-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />ORAINAGE <br />DEPARTMENT APPROVALS <br />COMMUNICAtIONS <br />iRAFFiC <br />PLANNING <br />I;UIJJ I HUI; I IUN/AS BUILT <br />�U� <br />civ;.-c c-�/ <br />� � <br />�O✓�ev%` /^�� ` <br />' c` //(� <br />;�. <br />DRIVEWAY SECTION <br />+I" LIP � <br />� <br />r30,� I �30,� <br />�t' <br />Tha un�ersigned owner hereby agrees lo �oIC entl save �armless <br />I�e City ol Everetl Irom any antl all claims lor damages. cosis. <br />e.penses. or causes of action Inat may arise beca�se ol installalron <br />antl mamlenancc ol Ihe improvemenl or ol�er nqhboi-way use <br />lierelo apphetl br and lurther agrees to remove same upon nobce <br />lrom Ihe Cily and lo replace publm pwperly tlamagetl Ihereby. <br />i <br />GNFit1��VPC ANL � � <br />��z ���' <br />PO �E`5 <br />�,X��7`t L,/� r �, <br />CI V 21P <br />TELEPMONE NUMBER ALiERNPtE I <br />z sZ - �y� y _ i <br />OniE <br />1978 <br />