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_ � <br /> - \ <br /> � , <br /> Ie�e�en <br /> Q APPLICATIdh FOR RIGHT-OF-�IYAY USE PERMIT <br /> vTypc or print clearly with ink <br /> . PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. b��3.��-6 <br /> I APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED,IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO_ <br /> � <br /> AT THE FOLLOWINC LOCATION _ S�7 ,3 � ."�JF,y JS� <br /> i <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: I <br /> I � <br /> I ( <br /> i I <br /> I <br /> � <br /> � � <br /> I � <br /> I <br /> � <br /> i <br /> I <br /> I <br /> I <br /> I <br /> i <br /> li <br /> '. DRIVEWAY SECTION , <br /> PERMIT IS VALID FOR 60 DAYS � ____� � <br /> I COPY OF THIS APPUCATION TO BE POSTED I <br /> � ON JOBSITE. � t �" ��P <br /> i CALL FOR INSPECTION 259-881 1 i�•3o" _____ L3o� <br /> i 24 HOURS BEFORE CCUNSTRUCTION I <br /> ' The un0ersignc�owner nereby egrees to ho10 and save harmless i <br /> . Ihe City ol EverMt Irom any anE all claims for Eamages, cosls, <br /> . eaprnses.or tauses ol azbon Ihai may anse betzuse ol mslallal�on � <br /> �, and mamlenanCe ol Ihe impmvemenl Or ol�er righ��ol�wey use ' <br /> ' �ernlo apP��etl IOi antl lutlher agrCes 10 remove same upon not¢e � <br /> li Irom Ihc Cdy ana lo replace pubL� pmperiy cldmagetl ��ereby. <br /> DEPARTMENT APPROVALS <br /> � <br /> SEWER COAIMUNiCAilONS � <br /> DRAIN4GE 1RpfF�C ' � . <br /> r � ���v� ���� <br /> IWATER ' ' - �pLANNMG SGNA E f AePUCAM – '. <br /> � �ti,�� - �zt� , sr. �t. <br /> srneE* noonEs/s_ — — ' <br /> � / � / c YC' r L� �� �-�/G f� / �c70 Jt <br /> � �� � / �rtv .in <br /> I APP OVE(U FO NSiRyC IT ON „ �'?'Y ,Q—'- . <br /> —� _ �FILPHONE NlIL19E9 — ALiCRNatE <br /> I ��� � <br /> 1�(, i <br /> � ✓� <br /> � APPqO U AS�VNST$}_ 16IJ / � pni[ pAip T ,� � — <br /> i � �� (/� 9 �� <br /> �� ( I �i ..i�i.ill.l ��.� '1�1i � ��� � <br /> . . �[F ��/Pi <br />