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- . ,.s '1 <br /> I j <br /> everett <br /> , � , APPLICATION FOR RIGHT-OF-WAY USE PERMIT ' <br /> Type or print clearly with mk <br /> , PRESS HARD - YOU ARE MAKING COPIES I, <br /> PUBLIC WORKS - / ' <br /> I EVERETT,WASHINGTON PERMIT NO. 1 i� � <br /> I I <br /> j APPLICANT(UNDERSIG4ED) AND FIRM REPRESENTED, IF ANY:� � � . .— '�--.:� — . <br /> � HEREBY APPLIES FOR PERMISSION TO � �- �� ' d <br /> i I <br /> i � i <br /> '�,� �7 � _ Z- i <br /> I <br /> � � - ; � � I I � <br /> � AT THE FOLLOWING LOCATION_� ^�� I <br /> I — <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTA�HED: �'� <br /> i � <br /> I I� <br /> i � <br /> � I <br /> i � <br /> � <br /> i I <br /> i <br /> � i <br /> � <br /> I <br /> I DRIVEWAY SECTION <br /> P�RMIT IS VALID FOR 60 DAVS I�_ � <br /> i COPY OF THIS APPLICATION TO BE POSTEU r� + I" uP <br /> ON JOBSITE. �} 7 � i <br /> I CALL FOA; IN�iPECT10N 259-887 1 �30' 30' <br /> ' 24 HOURS BE:FORE CONSTRUCTION T�e undersigned owner hereby agrees to hold end saee harmless � <br /> ihe City ol Everett Irom any and all claims /or tlama9es. cosis. <br /> ezpenses.or causes ol ection�hat may arisu because ol ins�allation <br /> antl maintenance ol Ihe improvement or olher ngh4ot-way use � <br /> hereto apphed br an�turiher agrees to remove same upon nohte i <br /> Irom Ihe City a�tl lo replace public property tlamageU ihereby. <br /> I DEPARTMENT .APPROVALS j <br /> SEWEF COUMUNiCATiONS � <br /> ORAINAGE TRAFFIC �' `� <br /> �'� / _ <br /> LVATEfl PL VNING SiGNAtURE O�AFPLICANI <br /> '-J , 1::. l'.. _��, ' <br /> STREET ADORE55 <br /> [_' 1 r, ���_ . . ..�� <br /> CiTY T IIP <br /> APPROVEDPOH CONS7RUCTION onre . � . • ' <br /> '� . <br /> //J� TELEPHONE NU�18E� PLTERNATE <br /> 41PPH0 EV �AS�- U --�:��� -- <br />