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� <br /> . � �;^ <br /> + �e�� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � TYPe or prinl ekady wi�h mk <br /> PRESS HARD- YOU ARE MAKING COPIES , <br /> PUBLIC WORKS PERMIT NO._.51�/-� <br /> EVERETT,WASHINGTON <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTEJ,IF ANY: / <br /> HEREBV APPLIES FOR PERMISSION TO <br /> L�/J�t�iE /77�.7�/i/ON <br /> AT THE FOLLOWING LOCATION � � � � / �� � P �� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> Q.�c �r-s-b� <br /> pest L �dV <br /> - , .�.�:�� <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS L,�-- --� <br /> I _ I <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. I_ _I_30" II <br /> CALL FOR INSPECTION 259-881 7 r�� I <br /> 24 HOU RS BEFORE CONSTRUCTION 7he un0ersignetl owner hereby egrees to holG and save harmless <br /> Ih�� City of Evere�l Imm any ane all claims tor damages. cosis. <br /> e.penses.or causes ol actlon Ihal may nnse because ol mslallnlion <br /> and md�n�enence ol Ihe imp�ovemenl Ur olhP� nghLa�-++Ty use <br /> ❑erclo aoP��cd lor and lurl�ei a9rees to remove same upon nohce <br /> hoin R�c C�ly anc) lo ieplatt pubLc property �amaged t�ere0y. <br /> DEPARTMENT APPROVALS <br /> SENER COAINU4'CA1�045 , <br /> / � <br /> �✓✓�. <br /> DRFINRGE iRRLRC � /� / <br /> ./ � � --_ <br /> WATER t��nNNiNG � SiGNAi�1nEOfP�n�iCAN1 <br /> �:� 7;�e� ,�a _ <br /> nOUHEsS <br /> STREEI V <br /> G, ,�� �v�,�E rrY � , 9�zo3 <br /> ��,. 2 <br /> APPHOVEDFOf CONSTRU TION DnTE ���� �� �J —�/// — <br /> // lE�[P�•ONC UM H PL'CRNAtE <br /> —� ,�/ J-�-12 C� _ � / �c� - <br /> APPROVED PS ONSTHUCTED ���E OniE <br /> c�U�r�uc�ior�rAs�ui�r «< 1978 <br />