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eve�en <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print Cleuly with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. � �7G <br />APPLICANT �UNOERSIGNED) AND FIRM i,�PRESENTED, IF ANY: <br />HEREBV APPLIES FOR PERMISSION TO <br />AT THE FOLLOWING LOCATION _ 7 ��'��' �� /� i � <br />� �:—lQ/ - o-� . -G.E..4=e�= ��11L_P�GG�1 ).t/..r..i . <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: �'�� 4�`��� <br />/ � <br />`�i�U U �r--�c, '� ,1"� , � � Y� �; -,,v � C� G /t. �FJ,{',J� , "% �-'� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DRniNI.GE <br />WATEP <br />STREET <br />DEPARTMENT APPROVALS <br />COMMUNIC�TIONS <br />TRAFFIC <br />PLANNiNG <br />1n'-'/ /—��i <br />ORIVEWAY SECTION <br />� � <br />I" LIP _� <br />� 30'�,� �j 30" I <br />r —�1 <br />The unGersigne0 awner here�y egrees b holA entl save harmloss <br />Ine Crty ol Evereu Imm eny anC nll Uaims lor clamages, costs. <br />exVenses, or cau5¢5 0l eCliOn Ihat mxy arise bCcauSe ol mslallabon <br />antl mqinienance ol IOe improvemenl or ol�er nghl-ol-way use <br />herelo Tpphetl foi en0 lur�hei Bgrees to remove same upon noi¢e <br />Irom i�e City and to replace public proCerty damagetl Nere�y. <br />�/ � / . �. � � / ��/ �f a <br />• ,. <br />i <br />I .�//r% J_ <br />'� � <br />