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i everetl <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT � <br /> V '� <br /> Type or pnM clearly wtlh mk <br /> , PRESS HARD - 'fOU ARE MAKING COPIES <br /> , PUALIC WORKS D('/ _ <br /> I EVERETT. WASHINGTON � PERMIT NO. 0 �� <br /> , APPLICANT (UNDERSIGNED)AND FIP.M REPRESENTED, IF ANV: `✓'�/, ��✓� �� �/ 7 "� �`p'^��L'✓ <br /> , HEREBV APPLIES FOR PERMISSION TO ��� �/�^ ��7't.�-C ��/'�-%� �1 K�(y A <br /> I <br /> /^ / / � <br /> li AT THE FOLLOWING LOCATION �v� !�/L�/ILL✓___� <br /> I �� <br /> DRAWING (WQRK TO BE DONE) OR THRE�PLANS ATTACHED� <br /> � <br /> � \ . i <br /> ��__—_� <br /> � <br /> � � <br /> � <br /> I <br /> DRIVEWAY SECTION �� <br /> PERMIT IS VAI_ID FOR 60 DAYS � �I <br /> I <br /> COPY OF iHIS APPLICATION TO BE POSTED i" LIP � <br /> ON JOBSITE. ' <br /> 30" <br /> CALL FOR INSPECTION 259-881 1 �3o" ,Ir J�_,.� <br /> 24 HOURS BEFORE CONSTRUCTION i <br /> The underxigneE owner hereby egrees to holA enE sava harmless . <br /> i Ihe City o� Everett Irom any entl all cleims for dam.9es. ros�s. I <br /> expenses,or ceuses ol action Ihat may arise�ecause ol nstallation I <br /> I ana mainlCnance ol Ihe improvement or othe. rigN-nl-way use <br /> �ereio app�ieE lor and luriher ag�ees Io remove same uoon nobce <br /> Irom t�e Giiy and to replace puot¢ O�operty OTmag�� tnereby. <br /> DEPARTMENT APPROVALS <br /> I <br /> SEWER COMAIUNILAf10N5 <br /> v / <br /> I Ol1AINAG[ iRAFRC \ ' /I��l;i�i���/���������� <br /> Y I <br /> /' G <br /> � WATER PIANNING SiGNATURE OF°5°LiGA <br /> � 0 O / / 7(OT / <br /> stacEr � noo s ' ' <br /> �� , l �i�.+�� �C�� 1` dZU� i <br /> ; ��r. r��� <br /> APPROVED F CONSTq I N E �1 �a.� ' l G a � ���� �/�G� I <br /> tELEPHON[NUM6E ALiLRNRIE I <br /> /O -L -� \ `-� � e'- �U � _ <br /> v ns c ri5 � re on*c ' onte <br /> � <br /> CONSTRUCTION/�SSE3UILT <<r � �—�— jg7g <br />