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, . -� <br /> ., <br /> ev.rett <br /> I � APPLICATION FOR RIGHT-OF-WAY USE PERMiT <br /> I Type or priN clearly with ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHI��TON PERMIT NO. � � - %� <br /> ��.�.' � ��_� ' <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY. j���� �= �� �L�� — <br /> HEREBY APPLIES FOR PERMISSION TO�' � r�/1•� -•� 7�� /rh+% ��'� -�( / — <br /> �l� // / i <br /> �- �"/ '�t� /�� _ 1-r w ti7`- ^ y'n_:, <br /> AT THE FOLLOWING LOCATION -�� �� _ � <br /> I <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> �i`i' � <br /> �llP � �� <br /> � <br /> ,� �� � �' Q� <br /> � �� <br /> Q Inp ' <br /> / ` �� <br /> � / <br /> C <br /> G, , � �/ <br /> '� � <br /> 1 - - _ <br /> - —' <br /> � <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID E'OR 60 DAYS � _ � <br /> COPY OF THIS APPLICATION TO BE POSTED �_ � i" LIP <br /> ON JOBSITE. I <br /> CALL FOR INSPECTION 259-8$1 + �30�t' �.30" <br /> 24 HOURS BEFORE CONSTRUCTION The unEersignetl owner herc�y agrees lo �o1E antl snve hnrmless �` <br /> ihe Ci1y ol Lverell Iwm any and ap ctn�ms lor tlamages costs, <br /> ezpenses.or Causes ol aclion Ihat m:ry arisc OeCeuse ol mslallah�n <br /> antl mainlendnre cl Ihe improvement or OtM1er righl-ubw�y use <br /> here�o aOPlietl�or nntl tutlher agrees to�emove same upon nohm <br /> Irom �hc Cdy and �o rc0���e puhlic pioV�'rty OamagrC !nzreby. <br /> DEPARTMENT APPROi�ALS <br /> SEWER COMMUNICATIONS <br /> DHAINnGE TRAf FlC <br /> WAT[R PLqNNING SIGNFi�E O�APPLICAH� <br /> J i <br /> �''°' 2�L1� ' '� ' �'�C-� <br /> STREET � <DDRES <br /> ��_ ��_ � �L��.1 � Oiv � � � bP � � <br /> APPROVED FUR�NSTRUCTION �OTi tE �(Jj/„„(J'� /�fl� �'YOL1J/ <br /> ��NC NUM1IUCP — AU'qNniC <br /> �.�a - 9� �� - <br /> �qPPr'�VE'��tiCONSI�FIR'•Ff�—��'� o��F �.��E <br /> .l <br />