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6 <br />� <br />C <br />1 <br />tYlfln <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or pnnt cleerly wrth mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WOHKS � -, <br />EVEF�TT, WASHINGTON PERMIT NO.-_�— <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV: �� ,N' � ���L- `J �� � �` �-� _ <br />HEREBY APPIIES FOR PE9MISSION TO � ��' � -'�_ �: T� � �'� � �� � � -�� �L � � �' ��r � �� � <br />�- �'- . : � � - F.� <br />AT THE FOLLOWING LOCATION ?� � '� �! � � � - ' � ' '1 r7J �'^ �G�� <br />DRAWING (WORK TO BE DUNE) OR'THREE PLANS ATTACHED: <br />'•';.� 1�LaN TC� r�.�( �>, 1C �: , _ � ��,_;.� � i�- �_I <br />, � :-i :1 _ , '1 � I� � i ._ , ,1;� � l-"� iU0 �-'� � R'�-� r �� ' - ! <br />�F-� 7 � f � i ' <br />If�.l i'ii,..;t�r:'A� ;,:>OCi !���� �,/��- r �11� <br />�, <br />, ; ,,;�,� � � �_}, <br />, " ` �_� f' !�� - �! � <br />`)C C. � � � � -r�. i r: -: r ,_ ,_- r- - ; � `_ <br />-,;.._� . ; : � _.�'. i1: �'. , • <br />a/ �`� ,� s <br />� ,� ��P <br />o� <br />� � <br />� Z3 ��`'- �� <br />� �� <br />PERM17 IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 253-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />sewen caMuutiicAnor�s <br />oNnir�nce ianvric <br />WATER PIANNINa <br />!� w ��-� _ _7aa o <br />�FPROVE f-OR CO STRUCTION On E <br />DRIVEWAY SECTION <br />I" LIP <br />(� 30,_� _ _�_30�� <br />i -i- <br />The under5igned owner hereby agrees to holC and 5ave harmless <br />Ihe Cily ol Everett hom any antl all claims for tlamages. costs. <br />expenses. or causes ol aztion I�at may anse because of mslallalion <br />antl mamlenance ol ihe �mprovemenl or olhei nyM1l-ol-way use <br />lie;elo apDLed lor ane lurt�cr agrees b re�nove same upon nol¢e <br />Irum ��e Ciiy ane In replT�e pv�br. propeety damageA Inereby <br />_.� � � � I � r .. .. i <br />i <br />l��w. r� 1;; ���l�;rt � �'� ��t=� <br />$�GN>IU�E �At'[�IiCAM � - �, <br />�^ � � 7 1 % � �\ �_l � i r � r"-% <br />AppRE55 J <br />� 1 / =.. �V �— / / / �� � �� � <br />f,iY ZIV <br />� J � _ _�, / . � <br />TELEPMON[tlUMPI� AL1[HNnI[ <br />. �_�--� '__ . . �_ .— �__� _1 _. —__ _._---.. _ <br />