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CVCfPfl <br />�S APPLICATION FOR RIGHT-OF-WAY USE PERMI7 <br />. <br />Type or pnnt clearly wilh mk <br />,PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON I PERMIT NO � ZS <br />APPLICANT (UNDERSIGNED) AND FIRM flEPRESENTEU. IF ANV: �w �� �vl � �1 I <br />HEREBY APPLIES FOR PERMISSION TO� �-�� ��T�� U� I�L � 1`TG <br />AT THE FOLLOWING LOCATION �� `�V O /i �� /�(J�. <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�� , ` _��/�' <br />C- /t� i?iG� ( C� <br />0 <br />PERMIi IS VALID FOR 6O� DQYS <br />COPY OF THIS P.PPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-887 1 <br />24 HOURS BEFORE CONSTRUCTION <br />� DEPARTMENT APPROVALS <br />I <br />SEWER COMMUNICAtIONS <br />I <br />IDRAINNGE iqpfFlC <br />I <br />WAi[R PLAYNING <br />I /. <br />� <br />I AP <br />� <br />/�� �J�- �` ",�/// <br />J �J DniE� <br />�/�// = ___ <br />_ —__— /"; %1-o F � <br />pAl[ <br />CONSTRUCTION/AS BUILT <br />ORIVEWAY SEC710N <br />I" LIP <br />�,.3C�� _ I_30" <br />T�e undersignetl owner �ereby agrees Ic holE antl save harml�ss <br />i]e Cily ol Everell Irom any antl all G:rims lor tlamages. cosis. <br />c•penses. or causes ol action t�at may arrse because ol instaila�ion <br />antl mamlenance ol Ihe impmvanen� oe otM1e� nqlti-ol-way usc <br />❑erelo apV���tl toi anJ Iwllicr agrees Io remove same iipon not¢e <br />Irom Ihe Ctly antl lo replace pu01¢ propcity �amaged Ihereby. <br />