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everetl <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMI <br />Type or print clearly with mk <br />PRE55 HARD - YOU ARE MAiU��G GOPIES <br />PUBLIC WORKS PERMIT NO. � � • <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND fIRM REPRESENTED, IF <br />/ 7 <br />NEREBY APPLIES FOR PERMISSION TOr '�� T�'�l' <br />�zo9 .��d sa��� �T`���� <br />AT THE FOLLOWING LOCATION — <br />i <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS AFPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALI. FOR INSPF�T�OPf 259-8537 9 <br />24 HOURS BEFOi�L"• CONSrRUCTION <br />SEWER <br />ORNINP�E <br />WAT[R <br />5,�«< <br />DEPARTMENT APPrIOVALS <br />COMMl1NICATiONS <br />ORIVEWA" SECTION <br />' I" LIP � <br />30'� _� _30 � <br />T�e undersignnd owner �ereby apmes to �old nn0 seve hnrmless <br />the C1�y o� Evere:l Irom any en0 all cleims fo� tlamages, costs. <br />e�penses. or ceuses o� aciio� Ihat moy arlse �ecausc ol mstallation <br />an0 maiNenence ol 1he imOro�eme�i or oihe� nghi�ol�way use <br />bereto oppLeC br T�0 �uriher agrecs lo remOve �ame upon nuhcc <br />Imm Ihe C��y ��0 lo �eplacc pubi¢ pmper�y tlnmaged ����e�y <br />il <br />TRAFFlG �/� � � /� . ' <br />/��_��..��,/�,��' � / <br />PLPNNING /" S�on^iVREOfAPFII �� <br />�/ p��I{.1%� ? %,�j� ���`. <br />__� / <br />�.�z�°.C'�'ff" /.L�. ' �f'<�o <br />ar� <br />nv <br />�/ � l � <br />onie ?�.? L "'l / 7 — nJ[nrvait <br />qPPflOVED FOF CONSTFUCTION �� � i.� `„�� N��, �����l <br />. :��.', _ /�'� C� _ _ . -_ — __ - _ <br />