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1 <br />� <br />everetl <br />� APPLIC�►TION FOR RIGHT-OF-WAY USE PERMIT <br />T'/pe or print clearty with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVEFETT,WASHINGTON <br />APPLICANT (UN�ERSIGNED) AND FIRM <br />HEREBY APPLIES FOR PERMISSION <br />IF <br />AT THE FOLLOWING LOCATION w� � <br />8oZ - 55�'� �L. � � <br />DRAWING (WORK TO BE DONE) �i THREE PLANS ATTACHED: <br />/ � Sldo <br />A�3 <br />�✓a. 99Zo� <br />PERMIT NO. g �— �'g <br />�v/.1/J �`}r1�NG- /!�?tp �-02 <br />Si�u,Z� /'�.�Ji /ni/;t.x�i`d7if.Ji�3 <br />PERMIT IS 1/ALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-981 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWEF <br />ORAINAGE <br />STPEET <br />DEPARTMENT APPROVALS <br />COMMUNICPTIONS <br />TRAFGIC <br />PLFNNING <br />���`J'Y/ 7 � AT�� <br />APPROVEDF CONSTRUCTION � <br />G ! � �`��j/ ��j, <br />.---AP VED AS CONSTRUCTED OaiE <br />CONSTRUCTION/AS BUILT <br />�/C <br />DRIVEWAY SECTION <br />� � <br />�_ t 1'� LIP <br />30" ��—� .,� 30" � <br />The undersignetl owner hereby egrees lo holtl enE seve hermless <br />the City of Everett Irom any and all c:aims br dameges, cosls. <br />expenses. or causas ol aclion Ihal may arise because of installation <br />anC maiNenance al t�e impmvemenl or other nghl-ol-way use <br />�¢relo epp6e0 lor anG lurt�er agrees lo remove same upon nohce <br />Irom Ihe C�Iy an0 t0 repl2ce public pwperly aemrged InereOy. <br />/� �,- Ca,�� ��s <br />,�_ �� Q�� <br />�NA�/� PPl/����- '� ^� <br />�C <br />� ��� � <br />QiY 21P <br />�/%� ��7`'�� <br />iELEPHON NUMO R ALtERNR1E <br />�AM l i(o/3 / <br />DAiE <br />veE 197g <br />