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everetl <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or pfinl Clearly w�th mk <br />PRESS HARD - YOU ARE MAK�NG COPIES <br />F'UB:.IC WORKS <br />EVERETT, WASHINGTON <br />PERMIT N0.79/-��'� <br />ANPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: � � �'�'"-��C � �t �� ' <br />HEREBV APPLIES FOR PERMISSION TO C� ��'-� �' u''�X �'y" ' U�-G� ���/2- J%i � <br />O Gm"--� c. � <br />AT THE FOLLOWING LOCATION � � ' - � — �—' � ` � — � ' — � "' ' — ` <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: !�/� t����'rmo �F lf v P <br />�� <br />J <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION 70 BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION �69-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />pNnINAGE <br />DEPARTMENT APPROVALS <br />COMMUMGTi0N5 <br />illPfflL <br />PLANNING <br />STREFT <br />a�.� .. -1 � ��' <br />PP OVED FOR ST.R CTION DAiE <br />�. � �1� �� ���_���� <br />qpp 5 CON51 U TEO DnTE <br />ORIVEWAY SECT�ON <br />I I'� LIP <br />�30" � � �3�,� <br />7he unJeraigned owner �ereby agrees to �oIG enE save �ermlees <br />ihe Cily ol Everetl Irom any anE all claims lor Gama9ez. cosis. <br />eRpe�ses. or cau9e5 0l at�ion Ihal mey ari9e betause ol msiellelion <br />end mainlenPncc ol t�e �mD�oveme�t or O��er ng�4o1-way use <br />�ereto epplietl lor and Wrther agrees lo iemove same upon not¢e <br />Irom t�e C�ty anG to repiace puDl¢ p�opertY aamagetl Ihereby <br />CONSTFUCTION/AS BUILT <br />T /_ � <br />�.� i '- '- C�� !r "'Yu` <br />iELEPHONE NUMBER r� - ' J:'� � ",}� •LIERNPiE <br />riu� �E ���1:� :ll ' <br />OAIE � <br />EiECL=1,}�-� <br />1 <br />