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i �..�,:n ' <br /> j � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> iType or print clearly with ink <br /> IPRESS HARD -YOU ARE MAKING COPIES <br /> PUBLIC WORKS PERMIT NO.�v����_6 <br /> EVERETT,WASHINGTON <br /> I APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED.IF ANY: - I <br /> I� HEREBY AFPLIES FOR PERMISSION TO <br /> � - I <br /> 4T THE FOLLOWING LOCAT�ON � 7 3LD r„/.�./(i IS% <br /> DRAWING (WORK TO BE DONE) GR THREE PLANS ATTACHED: <br /> I <br /> � <br /> I <br /> I <br /> I <br /> I <br /> , � <br /> � I <br /> i I <br /> I I <br /> I <br /> i <br /> IDRIVEWAY SFCTION <br /> ��, PERMIT IS VALID FOR 60 DAVS ;� --� I <br /> i COPY OF THIS APPLICATION TO P.E POSI'�D �— + i" LIP <br /> ON JOBSITE. ��30" _�30"� <br /> 1I CALL FOR INSPECTIpN 25�-881 1 <br /> 24 HOURS BEFORE CONSTRUCTiON ihe unEersigneG owner �ereby agrees to holE and sare hermless <br /> ��I the Cily o� Everell trom nny an0 all claims Icr Aamages, cosis. <br /> e•penses.or causes �t�ceon Ihat may anse because of mslatlation , <br /> i ,nE mBinicn�n[e o' Ihe �mprovemenl o� olher righl-ol-w0y v5E i <br /> '� �rtreto apObeE lo� en0�urther agrees�o remove samc upon noUce <br /> ' Imm Ine C�ly and -o repiace pubhc pro0erry aamageU ihe�e0y. <br /> I DEPARTMEiJT APPROVALS , <br /> i I <br /> I �EWEq fOMMUNIC/*iONS I <br /> DRPINrIGE TRRFRG �/ �/� ���I _ <br /> I I ' . - . r/ (� I <br /> i wATEP ' — . .:p1ANNING S�GN��NE ��/ICAN/.` � 1 <br /> , ,�y �t s r, ��=. ; <br /> �i nooAess / �] 'I <br /> I sintEr � ./ �G c/'j / �0�0..5 <br /> I �Yere �/ I <br /> CILY Z�P <br /> � � -y-- `� O <br /> , APP OVEO n NS7�F�lION ., � . :,) / E , <br /> � tELEVHONE NUA��ER ALIEAMATE <br /> 'i �/fv S�z�€�._ ' " � � '� 36 3� -- - , <br /> � CniE �RiE <br /> AVN110 D ASqo NS 1 D <br /> I / CONSTRUCTION/AS CiUILT �ce �)—��G 1978 � <br />