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everetl <br />APPLICATION FOR RICHT-OF-WAY USE PERMIT <br />:� T�•pe or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBIIC WORKS <br />EVERETT, WASHINGTON ,� PERMIT NO. �y� <br />APPLICANT (UNDERSIGNED) AND FIRM FEPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />��y� >, � <br />AT THE FOLLOWIkCa LOCATION �"CT_7"�L` � ��[� A�U-�� . <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />TN /�CCoROF\1JCE v-��T�I <br />V�`i�-c Z If-�P2.aVC � <br />�`l C �1 T <br />��PPRoJED 4�I�N <br />GCST� w��� 3� <br />D�-� a u��'�I <br />TA�pTp <br />i1�c C��c. Dc��-i , <br />� N �-F� � �\ t-( � u� i o r- 'i� �� �. 3 O� <br />/1� ���c- i��-t�= �� F��Dc.-, Dc�2 ���T ISSUI�tJcC vfZ7/O/p� <br />Al 74\lL 7cSL2C-T�o� c.t' i3lOf� �1 �IC"�f��.e e a <br />W�' DJI <br />PERMiT 1'S VALID FOR 60 DAYS <br />COPY OF �HIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFQkE CONSTRUCTION <br />SEWER <br />DRAINPGE <br />DEPARTMENT APPROVALS <br />COMMUNICRTtONS <br />TNAFFlC <br />VLRNNING <br />% �/% N �� <br />,�'� ' _ ''� <<� i � � � c_.:� <br />F PR VED FOR CONSTR/CTION OnTE <br />APPROVED AS LONSTRUCTE� oniE <br />DRIVEWAY SECTION <br />� � <br />�� +I'� LIP <br />30" �30" <br />The undeBlgneE ownar �ereby egrees to �old enE sava hermless <br />the City ol Everett Irom eny and all clalms br tlamages. wsis. <br />eRpen5e5. or txuses ol Ac�ion I�ai may Arise peCauSe ol installehon <br />anrf mamtenence ol Ibe improvement or otner righbol-way use <br />Oereto aOplieE tor antl Wrther agrees to remove same u0on notice <br />Irom t�e Cily entl Io replate pubbc property damaged Ihemhy, <br />� <br />! :. <br />. ' •';.'.• ��.w „ <br />1�,• I <br />n � ' �/} `!r ' <br />anr:�fh.�Q• '�'�. , iQ.hC�1�=i_- l�Ryt <br />��lT i <br />51['jNAIUFEpOF PPLICA 1 � � <br />i�.o•G'G'X , �QU�I <br />/DORE55 <br />`�`Tl�-AU W C��S'D , : � � 7-�l L <br />��.. _ . . r��,. ; <br />_(G`J Z-707y �(05 2-`�I77i <br />TELE�'H�jONE NUMOER ALTCIiNAtL <br />/d f GOy. �� i J Cjf� -- <br />onrE �'�— <br />