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y ' °'1'Y- <br />' everetl <br />� �PPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clenrly with mk <br />PRESS HARD - YOU ARE MAKING COPIES . <br />ruaucwor�Ks PERMIT NO. " r <br />EVEPETT,WASHINGTON '� �� <br />APPLICANT (UNDERSIGhED) AND FIRM REPRESENTED, IF ANY:_ <br />� <br />HEREBY APPLIES FDR PE�+MISSION TO <br />AT THE FOLLOWING LOCATiON <br />>,. , .r,- <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: �`� �-� _� <br />- \ 1ne ,r,or��o.. �u� <br />\ <br />� cir�.,ew� <br />w . � �� �-�e � �b I , � '(z � i-v <br />y�,��n�� �� .�ave� . <br />v l�l`Zl� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICl1TION TO BE POSTED <br />ON JOBSITE. <br />CL1LL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />� SEWER <br />ORAINRGE <br />WATER <br />DEPARTMENT APPROVALS <br />COMMUNIC�I�ONS <br />iflRLFlC ' <br />PLANNING <br />qPGROVEDFOR CONSTflUCTION DATE <br />APPROVED AS COhSTRUCTED OA�E . <br />ir:r� iai_ u�!srecTi��ri ���uFsr�o <br />DRiVEWAv SECTION <br />�I" LIP / � <br />i30 i~— � 3—'� <br />TOe undersigne0 owner hereby agrees to holtl enE save �ermless <br />the City ol Everett Imm any and all claims lor demages, cosis. <br />e+penses. o� c.tuses o� action Iha1 may arise because ai Instellnhcn <br />antl maintenBnce al Ihe imOrovement oi other ng�1�o1-way use <br />ne�elu apphcd lo� a�0 Iur�M1er ag�ees to �emove same u0on notice <br />bom t�e Cily ana to �ep�ace pu�l¢ piopwty damagetl t�e�eDy. <br />f. � <br />�1.�(- �.�..,,, <br />SiGNAIU�iE O� FFPlIGN1 <br />IJ��I �1'•�-1� TYA\�l /c'�) <br />rIODAE55 <br />il�i.�i�l�r'�i� l.)fl �i�.�7'J <br />CItY ZIV <br />�i i- i:Gl % �'�1� 7iUU �o �U _ <br />iELEP�iONE NUFIPC� AUERNRt! <br />� 7 :l') <br />is�e <br />