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everen <br />� APPLICATION FOR RIGFiT-OF-WAY USE PERMIT <br />Type or pnn� clearly with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT,WASHINGTON • <br />APPLICANT (UNDERSIGNED) AND FIRM <br />HEREBY APPLIES FOR PERMISSInN TO <br />PERMI' NO.� ' / <br />AT THE FOLLOWING LOCAT�ON_1_ 'rJ' � �' � � X '� �; / �' � <br />DRAWING (WORK TO BE DONE) OR THREE P'.ANS ATjTACH4D: <br />PERMIT IS VALID FOpi 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />oN �ossire. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE Ct�NSTRUCTtON <br />sEwEn <br />OfIPINAGE <br />SifiEET <br />DEPARTMENT APPROVALS <br />coMMuracnnon; <br />TRAFRC <br />�• � <br />��W_���C <br />4�i , , 1 <br />0 <br />� <br />DRIVEWAY SECTION <br />�� t I" LIP / J <br />L30'— � � �_sp,� <br />� <br />7,he underslgne0 owner hereUy agrees to holtl nnd seve harmless <br />�he Ciiy of Evere�� �rom any antl all claims br tlama9es. costs. <br />cape�ses. or causes oi dtiwn Ihni mdy anse betau,e ol ms�nllahon <br />nnd meinienanco ol iM1e imVrovement or oll�e� ngh4ol-way use <br />hciclo a0phe4 br and lurt�er ag�ec5 io rrnmve same upon noh�e <br />Irom Inr Gily 2nd lo repldce puNic piaperly Qam0grtl Il�ere�y. <br />� ) � — <br />CLHNNING SIG 1U�E OF APPLiCPNI � <br />\ � 1�� <br />ApUAE55 � � - <br />. . T � r i� . ,_ . . <br />APPflOVEDFOR CONSTRUCTION onT[ <br />�I APVFOVEn A$ CONSTRUCTED ���E <br />� <br />�.� , -� ' J <br />1HLPMONE N11���EP AUERNNIE <br />' � V _ <br />, �, <br />