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everH� <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />v 7�pe or prml cleatly wrtP mk <br />PRESS hARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO.��_�_ <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IF ANV������ �AI/�F P Si�� <br />HEREBY APPLIES FOR PERMISSION TO—F�� d A/ � d ��L f �� �� M r NG �� f 'L�u �«t �`S ='�C <br />AT THE FOLLOWING LOCATION �-� �LQ_ Tj pq j�. ��. . <br />- --3-�2--s7- S• <br />PERMIT !� VA�ID FOR 60 DAYS <br />COPY OF Ti-!!S APPi.ICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-88 t 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />sEwEn <br />a���.������ <br />DRRINAGE <br />�iVi ia rrla <br />\YATER f� 2�!�Yr; ��A <br />SiREET <br />COMMUNICATiONS <br />IRAffIC <br />FLANNMG <br />/\'�{/j� / � <br />AyfR ��ON�RUCI � �q����L �� <br />✓ <br />APPROVEO AS CONSTRL/CTED ppiE <br />.� I I'..�- IiJbl-ciJ I �O11 f'-k-.�lll�_S7 L� <br />a'�� 5/zz/�9 <br />DRIVEWAY SECTION <br />�'� LIP � <br />L 30" _ I 30" <br />Tho unEcrsignetl owner here�y agrees to hold an0 save �armless <br />Ihe Gty ol Everett hom any ana all cleims lor tlamages. cosis. <br />eepenses. or causes of acbon ihat may arise �ecause ol installTbon <br />dn0 main�enan�e O� I�C imprOvemCnl O� OIhB� nOM1I-Obwdy u5P <br />hereio appLed lor Tn� Iwil�cr aqrer; lo iemove samc upon noLce <br />Irom IM1e Ctly �ntl to repldce O���bc proper�y ddmflqed IM1e�Gpy. <br />� <br />/ � � � > <br />l._/qce��'_•'��vli'.,.ta�. /k't , <br />siGNn�un rn�v�i�qNi — <br />�/�' / 3_ S�-, ���2Yr:w L�P. .V. 1) <br />AOORE55 � <br />,1,� ,� � �� �! � y a-.� y � <br />CILY ZIP <br />�c L� - /�l i % Cc � .l - % � � <br />iELEPMONE NUMBER pLtERNPiL <br />�.�.2,i � -� �a79 <br />1>ntE -"' <br />