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0 <br />I <br />'� . I <br />�� everen <br />��� � APPLICATION FOR RIGHT-OF-WAY USE PERMlT <br />Type or print cleaCy wdlh ink <br />PRESS HARD - YOU ARE MAKINC; COPIES <br />PUBLIC WORKS _ ' 9 z 6/ I <br />EVERETT, WASHINGTON PERMIT NO. , <br />APPIICANT (UNDERSIGWEO) AND FI9M REPRESENTEU, IF ANY: <br />HEREBV APPLIES FOR PERMISSION <br />. �. <br />' AT THE FOLLO <br />DRF.�:1NG (WORK TO BE DONE) OR THREE PLANS ATTACHED: ��3 <br />��L � P.�>- /- �.%��Y/S <br />4�� \� <br />�'��� � �\� <br />� X� <br />� <br />�z <br />PERMIT 1� VALIO FOR 60 DAVS <br />COPY OF THIS APPLICATIUN TO BE POSTED <br />ON JOB5ITE. <br />CALL 1=0R INSPECTION 259-861 1 <br />2�i HOURS BEFORE CONSTRUCTION <br />I <br />I SEW[P <br />pFAINRGE <br />WAiEN <br />DE!'ARTMENT APPROVALS <br />GOM AUWLA1iON5 <br />TqAiPIC <br />P�nNNiNG <br />•,aEc� <br />�''�`-'`�-,'`-_ -- y�.' _ % — /�' �� <br />PPROVEDFONC N�TRU TION �/�F � <br />. /� �i� <br />� � �— f — <br />(__ � <br />ni�v� ��� S CO i CTED . ont[ <br />r ' , <br />vVE'T�10Rr �4 V� <br />DRIVEWAY SECTION <br />T� � <br />� j I�� L�F � �� <br />L30,• I _ � �30" <br />i- -i <br />The unCersigned owner hereby agrees to �ola aM save harmless <br />�ne C�ty ol Everett Irom any ana an daims lor Namapes, costs. <br />mpenses, or causes cl aciwn Iha� may anse becausz ol installation <br />and maintenBnc2 0l 'he �mprovement o� oiher ny�l�ol�way use <br />herelo applir0 �o� ana lurther agrees to rCmove samc upon nol¢e <br />irum Ne C�ly nnE to revlace nubi2 0'^�erty tlamngen InereDy. <br />��'\ \ <br />�� � // <br />_--�nt s�d—. � � V <br />SiGN4T ��'LLL ��J <br />`,+L7�i / 1... . � ^-.:JC:� "L,• <br />Ann��ess <br />+4i,/ ������. (, � <br />��•. � r�o,%'.,,=.,�� —�-� <br />iCIF r��" ���� ���EHNPiE <br />!!EC£1AED <br />paiE - <br />-- — -- - - - - 19?B <br />