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everen <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />♦' Type or print Cleedy wrth mk <br />PRESS HARO - YOU ARE MAKING COPIES <br />PUBLIC WORNS Q <br />EVERETT, WASHINGTON PEFMIT NO. � <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSiON <br />AT THE FOLLOWING LOCATION <br />8/30 <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR lNSPECTION 259-887 1 <br />24 HOURS BEFORE CONSTRUCTION <br />or+niNnce <br />WAl <br />DEPAFTMENT APPROVALS <br />COMMUMCAii0N5 <br />PVJINING <br />51ViEFT �/) <br />� / �� <br />��,,� ��.�� �- � �.��v <br />APPROVE� F R GONS UCTION oAtE <br />APPRWEUFSCONSIRUCTEO t'�Tl <br />C U3TG�.- _, � <br />DRIVEWAY SECTION <br />I � <br />1" LIP <br />30'�j �1 30" J <br />i � 1 <br />The untlersigned owner hereby ngrees to holG an0 save harmless <br />the Cily ol Everell Imm any antl all claims lor Camages, costs. <br />e.penses. or causes ol action I�aI may anse because of mstallation <br />ana maint¢nance ol Ihe impmvemeni O� olher righbol-way use <br />nereio apphr0 lo� ana Iml�r� agrees to remove same upon notrte <br />Irom IM1e Ciiy and to �ep�a[e pubhc propci�y darnagcd t�eioby <br />�J�',f7-KwL�^ ��Cl Y.�L1i'�`.c2V� <br />51 NRtUREOfI��UCNM ' <br />� •-� ���(% lJQ Y �J �� �J�� , <br />NDDRE55 <br />�-�r� � � �J� `i� 'a�-� �� <br />CITY 2�p <br />"�`�j'j'��,`'� ���, 'lL� "��1-,`�1�-� <br />1ElE�'MON NIIMBCF AIiERNn1E <br />/� <br />�, �� '.'� / � � _� <br />j'.11[ ! <br />