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- \ <br /> , <br /> everen ' . <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> v Type or prinl clearly with ink <br /> PRESS HAFD - VOU ARE MAKING COFIES <br /> PUBIIC WORKS � <br /> E�'ERETT,WASHINCaTON PERMIT NO. 7y/S� <br /> �; <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV: /�4���/ '� ' - L�;,' /��S- � :��� ' * / �/�,�=�S��s;�_ <br /> HEREBY APPLIES POR PERMISSION TO C��7 r'.i �" >t.' :� ' ' �� � _C l �y•�r;i�'. �_� (�� . <br /> ��"��� <= f'F'f�'T'-� � �(� <br /> AT THE FOLLOWING LOCATION��'�:7 f � � ��� � j'� (�,.�' ''7ti\� <br /> DRAWING (WORK TO BE DONE? OR THREE PLANS ATTACHED: <br /> � DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF 7HIS APPLICATION TO BE POSTED i" L�P <br /> ON JaBSITE. <br /> CALL FOR INSPECY'ION 259-887 7 30'-�- T 30"� <br /> 24 HOURS BEFORE CONSTRUCTION The unCemignc� owner �ereby egrecs to�oIE antl savo hermless <br /> 1�e Ciry ol Everetl Irom any an0 all cltim9 lor tlamages, rosis. <br /> espenses.or causes ol action Iha1 m0y anse because ol mslallalion <br /> and mamtenance ol t�r impipvemenl or olhcr nghl-o�-way use <br /> hC�CIO�ppliCd 10!Tftd Ip�IhC� d91Cf5�O IpR10VC SdTC upUn nObC�' <br /> hom ihe Ctly and to rpplaco pubbc pioVai�Y hr^�•�ged ifirrehy <br /> DEPARTMENT APPROVALS <br /> 'ALwUi �OMMUNICnilONS <br /> f]IIAINAGE TRAFfIC . I�1��f <br /> (�Inl �f��nJ- <br /> 14nifR vLqNNWG SIGNnip�E O� AvvLiCAM <br /> S1iiEEi �- - — ���• _�� � <br /> ��n��css <br /> NiGf l l�- Ci8c�7-� <br /> i`^ :ir _ <br /> APPHOV[D FOP C0IJSTRUCiION ^�.'E ��� / � �`�(�`�n <br /> �1 / / <br /> 'LIC�'nCNI NUhIpE� hL�ERNAI[ <br /> � � ��]� <br /> nvvivoveonScoNsr��ucreo ����i. r�T"' - <br /> . — _ —_ _- - . _ — ._ _. <br />