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% '� <br />eV�r�� APpLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� TYPe or Drint NcadY wilh mk <br />PRESS HARD - YOU AFE MAKING COPIES <br />PUBUC wORKS pERMIT NO. �� ' ��' <br />EVERETT.WASHINGTON � � <br />_/ . <br />IF ANV: �c..--i ' /,. . ,.'-/ �'- I i - — <br />APPLICANT (UNDERSIGNED) AND FIPM REPRESENTED, � <br />HEREBV APPLIES FOR PERMISSION?O— <br />V L �� l= F-� <br />AT THE FCLLOW�NG LOCATION � i � G � — <br />DRAWiNG (WOF:K TO BE DONE) OR THREE PLANS ATTACHED: <br />,, <br />�� � <br />1��� <br />�o' , �-� , . ;,; �t,l � /o � <br />� / , <br />� `. <br />��,,Y�f. �.' / <br />, �— / <br />ey <br />/� / �e rc ��� m � � I <br />/�.. � Lr.y � <br />PERMIT IS VALID FOR 6Q DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL POR INSI�ECTION 259-887 1 <br />24 HOURS BEFURE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWEF COMMUNiCAi�ONS <br />`— � ' �, �p q,lIC <br />oaeiHnee ., 2 \°� �� �� ��.7 � � l l <br />r�� dl , `- �' • <br />WpIEN __I PUNNiNG <br />STPEFT ' ..�� <br />�'�� 4� .,�. �;�� , N:� 7 i 2� <br />� OA*E , / <br />qPPROV 0 FO �� �; / <br />_. \ <br />pvPROVED AS GONSTRUGiED ��DniE <br />li-tl i Ir'..I_ li�`I�'. ��� I�1-'�J f�LQUL:; I�[) <br />Cd;:r �/ <br />t,llo w �� <br />DRIVEWAY SECTION <br />�` `I" LIP <br />`— 30 <br />� 3�_ <br />The un4ersigneC owner hereby egrees to �oltl entl seve �arml¢ss <br />Ine City ol Evere�l Imm any antl all clalms �or Oamayes. cosis. <br />e.penses. or causrs ol acUan t�al may anse �ecause ol m�ixllalmri <br />anG mam�enance oi tne improvemenl oe otner riBnt�o��way use <br />be�elo opphed lor and W�t�er agrees lo remove seme uoo� nol�ce <br />hom t�e G�y Tnd �o �ep�aze Ou�hc properly 4amage0 ibereby. <br />; . .� ��, - �!�' <br />.: , ,. . . �..,' <br />SIGNAll1P1, Of APPl1G4Ni <br />� — � -1 � . / � Y•- p1 i <br />/ <br />ROOFESS <br />, ;. :-,i _ <br />�-�� zir <br />�!1 . c ': . i e� -7+J — <br />�jELCPNOYE NUMDER / PL�EFNAiE <br />� �I <br />