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s <br />everetl <br />� I�PPLICp►TION FOR RIGHT-OF-WaY USE PERMIT <br />Type or print clearly with ink <br />PRESS HAFD - YOU AFE IviAKING COPIES .�'t"c— <br />PUBLIC WOFKS <br />EVERETT, WASHINGTON PER�AIT NO. <br />APPLICANT (UNDERSIGNEDI ANO FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION TC <br />AT THE FOLLOWING LOCATION �� L Io S, J� D /`f li � <br />ORAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALfD FUR 60 DAYS <br />.___..1 <br />C�PY OF THIS APPLICATION TO BE POSTED <br />UN JOBSIT�. <br />CALL FOR INSPECTION 2',59—HF'.1 7 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEF <br />ORAINAGE <br />WPTER <br />DEPARTMENT APPROVALS <br />COMMUNICAilONS <br />DRIVEWAY SECTION <br />I � <br />I" LIP <br />30'�_ T 30 I <br />7 <br />T�e unEersigned owner hereby agrees to h Jd a�tl seve harmless <br />Ine Gity ol Everetl Irom any anE eIl claim> �or Cama9es, msis. <br />Ca�Cn5e5. O( LdO5C5 OI 2CIlOn 11101 (fidy O��SC bCW115C 0� inStBIIBIlO� <br />antl mainlenance ol Ihc �mprovemen� or o�her ngh�-Obway use <br />M1C�MO dpPliCd IOf BO(� �u��M1Cf TIJtCC5I0 fCII�OVC SdTC U000 OObC2 <br />Irom ihe G�y ana �o replace puhM1c properiy �amagea mer«� <br />iRAifIC �jV <br />PLANNMG SIGN�O� hPI�IICA� <br />�� ��,�E�S <br />.0.� 3r.S <br />/ilr.%,�i�-o � �� <br />��,. _��, <br />APPPOVEO FOR CON51HUC710N nnt[ <br />4PPROVEU ASGONSTRUCTED �°��� <br />�' i " .' . <br />�� c--�cy� <br />!fl [���ONE NUMpE� AUIRNAiC <br />,�,� <br />/L � — — <br />1978 <br />