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everen <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or prirt clearly wtlh mk <br />PRESS W1RD - YOU ARE h7AKING COPIES <br />PUBUC WORKS � <br />EVEReTT, WASHINGTON PERMIT NO..�g /7 � <br />� � ��;y�r ;•� i', 'ZS� y` <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED; IF ANY: � IJ �_ <br />�,,. � ;. <br />HEFEBY APPLIES FOR PEHMISSION TO� //'�� � � � � - — — �'� � � R' /tI G � � F ` <br />���!-c� �e <br />AT THE FOLLOWING LOCATION __ `�-5 �� C�%�% y ��, �� � J�N �% L 1 <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�0 �r���C � L�i: ,=��i.r"v,:'- <br />ivG�T � — -- � <br />.,� �/�- S:�F�Y. <br />.- � ,- ,-� � <br />� � jG �'=n U S � <br />t�-� <br />����i� r<< � c: � � r� �; �="S- S s� <br />;� - ��„- ,, <br />i� %� <br />�_� ,, , <br />P�RMIT IS VALID F'OR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />�ALL FOki INSPECTiON :'S9-6'8 � 1 <br />24 HOURS BEFORE CONSTRUCTIQ;J <br />DEPARTMENT APPROVALS <br />SCWlR <br />pqaiNnGF <br />1[N <br />COMMUNICRTIONS <br />TRRffIC <br />C��NNWG <br />�PPHOVED FOR CONSTRUCTION ��q1� <br />nf�PPOVED AS CONSTRUCTED DniE <br />��-,��sS d�i�y <br />DRIVEWAY SECTION <br />jl'� lIP � <br />i <br />�30 �—__—_ --- 3p„ <br />?�e undersigned owner he�eby egrees to hold anE save harmless <br />t�e City ol Everetl Irom eny and all cleims lor tlamages, cosls. <br />e�penses. or causes ol eclion ihat may arree because ol inslBllal�on <br />anG ma�ntenance ol Ihe �mpiovemenl o� oiher nghl�ol�way usc <br />nercio aPv���d lo� an� lurther agrees to removr same upon noecr <br />Iro�*� t�e Ctly zn� �o roplace pubbc proprrly Oampgea �nr�nl',y <br />% ���-C� � <br />� �,N <br />2- <br />197R <br />� <br />