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� <br />- rvereh <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� Typs or pnnl cleady wdh mk <br />�� PRESS HARD - YnU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT N0. 7 �`� <br />EVERETT,WASHINGTON / <br />APPLICANT (UNDERSIGNED) AND FIF�M REPRESENTED, IF ANY: /�/ �PM /NGN.4M ��t� IC�Ek S I UC• <br />HEREBY,APPLIES FOR PERMISSION TO '" 'p�v� w'�� A e c Fss 7-r] �4� �' - <br />�— <br />AT THE FOLLOWING LOCATION S� v� �— T SO �� �� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-681 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DAAINAG[ <br />WAIER <br />DEPARTMENT APPROVALS <br />COM�IUNICAilONS <br />ivavric <br />riil PLANNINO' �.. --- <br />I('.1 <br />� <br />�r,�EE, <br />��:� <br />`� 1b'�-7S <br />A�ED FOR CO TR ION -� - onTE <br />��� , -an �r ,, i.� <br />L� + T`�� .S <br />��� � _ � �`��,�� � p�� <br />��.--- <br />, ,, <br />3'�—`� �� r <br />DRIVE.VAY SECTION <br />I'� LIP <br />�30�—�— _I_30�� <br />�r— <br />The unEerSigneE owner hereby sgrees to holtl an� savc hermless <br />Ine Ci1y ol Everelt Irom nny antl nll clxims br demages, cosis. <br />eKpenses. or causes ol nchon t�21 mny anse becdu5e ol installatio� <br />and mainlenence ol Ihe imprOvemenl or ol�er nphl-ol�w0y use <br />nerelo applm� IOr and Iurl�er agrees io remove same opon mime <br />Irom inC Ci�y dnd 10 �eplace publ¢ piopeiiy dainnged inere�y. <br />.Q/� �Q A i` Qu �/al���.� <br />SIGNAiUBC O( APPLICANI <br />/9� i.� sa u,� � ���aw <br />noon[5 <br />s�Nwo�� �a__ 9_�'z z <br />Cilv L•N <br />Gs�-9�97 <br />iuEvhoNE r�u��een ni*EnHnit <br />