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0 <br />� <br />\ <br />ereretl <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� Type or print clearly with ink <br />`� PRESS HARD - YOU ARE MAKING COPIES <br />PUBIIC WORKS '7 Q <br />///� PERMIT NO. ? � <br />EVEHETT, WASHINCaTON //�.G/�iG1�l�T `����.�IC�/C.�-�1�• ' n J_ f'—_ <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: .� <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION <br />' OD,� .N, z � z � �/z-L���� 2 " <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />/�/C��%��1_ /�, <br />%�;,em�i �/��F<.c_ %�' <br />��in/'c�,x� du% ��'i <br />��/p2/c= � c , � <br />7 /,✓j2�!�' S/'I"jlSri/IEiiL�✓ <br />To r u�� �C_ � 3�z �� �� / <br />(?ERMIT LS VALID FOR l50 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSiI'E. <br />CALL FOR INSPECTIOPi 259-881 7 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />$EWER COMAIUNICATIONS <br />DHRINI•GE 1RAFFlC <br />PIPNNING <br />STPEEI <br />APPROVEDFOR CONSTRUCTION �AT� <br />APPROVED AS CONSTRUCTED �`�� <br />DRIVEWAY SECTION <br />� � � I" LIP <br />30'� .T 30 � <br />Tho untlersigned ownnr hereby agrees to ho10 antl aeve na�mless <br />Ine City ol Everetl Irom nny entl ell claims lur dnmaqes. cosis. <br />e�penses, or esuses ol ection Ihal mey nnse �ecause ol mslallelion <br />and mainicnance ol IOe improveme�t or otnei ngh4ol�way use <br />nc�e�o avoi�ea m� rne ��m,w agrees lo �emove snme u0an nol¢e <br />Imm Ine Ci1y nntl lo �eplace pu�l¢ p�optelY demayea :�crc�y <br />.� 5 yc���� <br />i[LkPMONE NUM�ER AIiERNAtE <br />� -1./- %9 <br />