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everetl <br />� APPLICATION FOR RIGHT-OF-WAY U�E PERMIT <br />Type or print clearly with ink <br />PRESS HARD - YOU A�E MAKING COPIES <br />PUBLIC WORKS <br />EVERETT. R�ASHINGTON <br />PERMIT NO.�/�fv <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �j � � �C�� � <br />L <br />HEREBY APPLIES FOR PEFMISSION TO <br />� � G !' crt,I 1h /v�c t <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE FLANS ATTACHED: <br />� � <br />�',« /;it,c � �'*-'�5 <br />s,�r� �� �,�`-� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DRAINAGE <br />WATER <br />STREET <br />DEPARTMENT APPROVALS <br />LOMMUNICATIONS <br />TRAFFIL <br />P�ANNING <br />��' �� <br />.� �/��G��/ <br />APPHOVED �-0 CONSTRUCLON ��E <br />s. u; <br />i'' �`G � " <br />arw P<�i_�.. <br />URIVEWAY SECTION <br />I�� LIP <br />I ao" I � � 30" � <br />�+__+� �T —'1 <br />The undersigned owner hereby agrees to ho10 entl save �ermless <br />the C�ry ol Everell irom any and ell claims for damages, costs, <br />expenses. Or Cau5e5 0l aCtiOn Ihat may arise beCause ol inslelletion <br />antl mamlenanGe ol Ihp, improveme�l or olher righi-ol-way use <br />hereto appbc0 lor antl lurlher agrees lo remove same u0on nobce <br />Irom Ihe Cily an0 Io replaCe publit OroOerly tlama9eA �M1ereby. <br />SI ATUPE�PPUCA�,r/�� <br />7 �!//I� /1G. ��� <br />� z e s --- <br />nooaes // <br />i✓c.[ /�' <br />Cnv z�r -- <br />�5.� ' �8�� -- <br />*Cl[^nnNF Nlq�piEa ' .l'F�14n�f <br />