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i _ _ <br /> ���.�, <br /> I � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with mk <br /> PRESS HARD-YOU ARE MAK�NG COFIES <br /> IPUBLIC WORKS —7 <br /> EVERETT,WASHINGTON PERMIT NO._. U / �� <br /> IAPPLICANT(UNDERSIGNED)AND FIRM FEPFESENTED, IF ANY: S /f�� E LA F��t �S <br /> �I HEREBY APPLIES FOR PERMISSION TO %�'��"' �u�'� N"'`—�-' (L7 C'�'�*�"L•~„ ��"� / <br /> i / � <br /> AT THE FOLLOVANG LOCATION�Ll� I �'"�� M1 L <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: ���r '�'s� <br /> � <br /> � <br /> I <br /> I <br /> � <br /> � <br /> I <br /> i <br /> � <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP I <br /> ON JOBSITE. _ 'T' �� I <br /> CAI_L FOR INSPECTION 2'.f9—�91 1 �30'� 30' <br /> � 24 HOURS BEFORE CONSTRUCTION <br /> T�e unEersigned owner heraby agrees lo �oIE anC save hermless <br /> ihe Cily ol Everett Irom any anC ell tl�ims br Eama9es, costs. �� <br /> e.penses.or causes of ection Ihat may m�fe because ol mstellation i <br /> . ana maintena :e of Ihc impwvement p• olhCi nghl-oLway use <br /> hC�¢lo BpPlipd 10!Pn�Wr�tlPf 2QIlC¢5�O RIfIOVP SdRIC upOn pOLCC I <br /> hom Ine Cny and to reOiTce OuElic property aamaged thereby, i� <br /> DEPARTMENT APPROVALS <br /> SEWFN COMMUNILALIONS I <br /> I DNAINFGE TRRiFlC � / � <br /> �� � /_ <br /> I WATER fLANNING SIGNAiUR[Of A0� RM I <br /> L `' � ��� ���� a� � � <br /> � s*aeel 'Aoor;[ss � <br /> � ��L ld'tJ�J��,- G; ' �(� '�U � .,�ec�--���� <br /> Crtv Ln <br /> I A PR VCD F�JR C TR TIDN oaTE �_ , — � , .��j __ _-- I <br /> . / — <br /> . .y( '. �d-L�� — —_— , <br />