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� _� �I, <br /> I, everetl <br /> � APPLICATIaN F9R RIGHT-CIF-WAY USE PERMIT �II <br /> Type or prmi clearly with mk <br /> � PRESS HARD -YOU ARE MAKING COPIES <br /> Puauc woaKs �ERMIT IJ0. �� li <br /> I EVERETT.WASNINGTON <br /> C�.� ���� L� �.N,�� ���-a, � <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:_�— <br /> I��,.,� � ��ar� �-� <br /> HEREBY APPLIES FOR PERMISSION TO���� �M I <br /> � <br /> �v , � <br /> II AT THE FOLLOWING LOCATION . _ <br /> i <br /> i DRAVL'ING (WORK TO BE DONE) OR THRE �LANS ATTACHED: % i <br /> II �_�1' / . <br /> I I <br /> II <br /> ,I . <br /> I <br /> � <br /> I <br /> I <br /> � <br /> I <br /> �' <br /> I <br /> ORIVEWAY SECTION I <br /> I MIT IS VALID FOR 60 DAYS — <br /> I PER f'--- � <br /> li COPY OF THIS APPLICATION TO BE POSTED � f' uP <br /> ON JOBSITE. I 30';� _L3o" I <br /> I CALL FOR INSPECTION 259-881 1 C' <br /> � 24 HOURS BEFOP.E .^•ONSTRUCTION T�e unders�gned owner hernDy ogrees to hold and save�armbss <br /> I the Cily of Everett Imm any entl zll claims lor damage . rosls. I <br /> ew0enses.or causes o�acimn thal may anse�ecause oi mstallahon <br /> I _ — ane mainlenance ol ihe �mOrovemenl or olher ngh4of-way use I <br /> F^reto app�ietl br an0 luriher agmcs lo remove same upon notrce <br /> Iwm tne Giy ana lo �epiace PuOi�c pioperty UamageC ihereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COA+MUNiCA*iONS ----_ <br /> /// ���///��/ /� <br /> DFnINAGE TNIFFlL �f � '//� � � / <br /> /� o%crC /� <br /> / <br /> WA7ER PL�NNING ` SiGNATUR60�"3"liC> �Z /�� I <br /> \\ � �• /j 0 /y����/�O iiiL <br /> STREET / pD��� /� �� P /a 7/I/ <br /> � ��i L V( � <br /> —� \ CI1Y ZIP <br /> ' ' ' �a s- /�a 3 .���- �/�E/ <br /> APPROVEDFO GONSTR � N � I <br /> ICIE�'MONE NUMOE� �\J ���E�����- <br /> � /O :� �� � 7 d �v ` I. <br /> �nlf f�rtiC <br /> I �(l 'JI.i4��=� , _—_ <br />