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everetl <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with ink <br />FRESS HARD - YOU ARE MAKING COPIES <br />PUBUC WORKS 3 � <br />EVERETT, WASHINGTON PERMIT NO. <br />APPLICANT (UNOERSIGNED) AND FIRM REPRESENTED. IF ANY' S Fl Y�E.' <br />HEREBV APPI !CS FOR PERMISSION TO U" J� C K l S`1 �", 17�CCS S �2 U I'�'� �1'�' ��L)(��t 1 I� �� VP� <br />c <br />AT THE FOILOWING LOCATION �F� `� F� Z _( V P r c� 2-9 Z O /(` ! il! in G I St . <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />` ��r,-�V`(T 1,/i C�-..,��—�] <br />� � I <br />PERMIT 18 VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 2'.f9-B81 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEN <br />DRn'NnGE <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />IRALFlC <br />PLRNNING <br />r <br />ORIVEWAY SECTION <br />I" LIP <br />I 30" I __�30" <br />The untlersigneC owner hereby agrees to holE an0 save harmless <br />Ihe City ol Everett Imm any and all cla�ms tor damage,, wsls. <br />e.penses. or causes ol action I�aI may anse �ecnuse ol mstallation <br />BOO Tflil1�2llfll�CC ol Ihe imOmvemen� or oihe� righ401-way u5P <br />hme�o BpPbeO �or Bnd loriher agrees lo mmove same upon nobce <br />Iwm Ihe City 0nd Io replace nu�im proverly aamaqe� Inereby. <br />Ar� �� <br />%tIo y- /o� <br />t55 <br />p ri Gt)oo� . <br />� 1t` � �.3% <br />5. �w <br />� <br />� � <br />,4 ��'. /�/. u� , <br />qS� • �'/8Z�/ � <br />zie <br />n�r[r�mnn <br />