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I evereh <br /> i Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � `�� Type or prin�clearly with mk <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> I <br /> EV[RETT,WASHINGTON PERMIT NO. Z <br /> I APPI-ICANT(UNDERSIGNED)AND FIRM REPRESENTED, IF ANY:_ � <br /> � <br /> HEREBV APPLIES FOR PEPMISSION TO�'��� ;r .`... .� .%�• :�,� .'�'� �'� �•/�'"�_i � . �'%) l i-:�-•i—C`i.�'�, <br /> . A-, <br /> l� <br /> / / r �}. <br /> AT THE FOLLOWING I.00ATION��� D� . I�!/.-�l";yJ �- _..✓ � i��`_�.��• ( ...f.��t..�-T (.I,.'��.�: <br /> 7 <br /> DRAWING (WORK TO BE DONE) OR THREE PLAN�ATTAL'AE6��—` <br /> � I <br /> ,� _ c.f : �:. <br /> � � � <br /> f i— <br /> �A�` � � � ,�,.__.�_�:_._..�.��--. <br /> ,� <br /> �-----— �, <br /> � � /V � � � <br /> ! <br /> \ ` 1 � <br /> J <br /> � <br /> ,;'t <br /> J <br /> I ' <br /> � � <br /> � /1�' � <br /> l � <br /> /� <br /> „�j� E)c � � r. fl �. A. � _ �.� <br /> � / /-�` :,' ��t � � /\,' ;'�1 l.�C_" <br /> , <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � I <br /> COPY OF THIS APPUCATION 1'O BE POSTED � i" LIP �� <br /> � ON JOBSITE. <br /> � CALL FOR INSPECTION 259-861 1 �..30" �� 30"�� <br /> �I 24 HOURS BEFORE CONSTRUCTION The underaigneC owner hereby aBrees lo hold and save�armless <br /> �, Ihe City ul Everett Imm eny cn0 all claims lor Aameges, wsis, <br /> { evpenses,or causes ol aclion Ihal may anse�eceuse of m5tallabon <br /> �� an0 maiNenance ol the improvemenl or other nghl-ol-way use <br /> �erelo appLe� lor an�lurihei agrees to remove same upon nol¢e <br /> Irom Ine Ciiy an0 Io replacc pubhc pmpetly DamageE I�ereby, <br /> DEPARTMENT APPROVALS <br /> ISEWER COMMUNICntiONS <br /> OR/INI.GE 1RRiHC <br /> ��� , I� <br /> W�T[q f'LPNNiNG 5� i nl' uC � <br /> .. �:. . Y�:�Q.J-' .'�-,! � <br /> STflEET � A RE 5 <br /> / <br /> '` � � , � , /_ •u�,u,..r'P` :.t��1.), _ 9_��0�- <br /> � � 7 /L/L�/ c"r zir <br /> �� T U. �ON OpiC � ^ <br /> � � i � � �� �. _ - _ _ _�_—_-- <br /> � _ . . _ inrvr�nvt:Nu�.,�,���_ I <br />