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evcretl <br />� APPLICATION FOR RIGHT-OF-WAY USE PERIIAIT <br />Type or prinl clesrly wlih Ink <br />PRESS HARD - YOU ARE MAKING GOPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. ��-`'� 5 <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: , — � <br />:l <br />FiEREBY APPLIES FOR PERMISSION TO—.G <br />� 3 <br />A7' THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />���,�q „-i unl ; <br />rA�Si/1uJl— i;:N[..= D7tl5i ��i �%'iO-in.r.o� <br />rv L-,r7 7�N„Jo-- 2iF.s;2�c.,—,v.J o�= <br />PEFdMIT IS VAL!'D FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR ITiSPECYION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />sEwEn <br />ORIINRG[ <br />StqEET <br />DEPARTMENT APPROVALS <br />COMMUNIC4IIONS <br />TRAiFIC <br />PIANN W G <br />/�� /���' � C/.in/ <br />APyI OVEO F CONSTRUCTION � AiE <br />APPROVED AS CONSTRUCTED DniE <br />/ � <br />. <br />."L� .'c'rJ, ��2.r� <br />� y ,, �.��iGrF,— <br />(��% <br />DRIVEWAY SECTION <br />r� `I" LIP <br />Ir3p�� I 30" <br />•1� <br />T�e unCersigned owner hereby agrees lo hold anA save �xrmless <br />Ihc Cify ol Everett Irom eny ana all clalms lar Aemages. msts. <br />eepCnses. or cTuses ol action I�at may anse DecTuse ol installalion <br />and mainlenan<e ol Ihe impmvement m oi�er nghl-ol-way use <br />here�o apphc� lor a�A lurl�er agrees lo remm� same upon nol¢e <br />bom �he C��y am1 lo ieplace publ¢ piope�ly damaged IM1ereby <br />1,�������% <br />SIGNnt W1E J� A�'�LICnNi <br />33C�`� �� <br />.�..�...�.�.�.....� — �/ <br />ontc <br />-_ _ ___ .. ... _ -__ <br />�i[ <br />