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� eve�etl <br />� APPLICATlON �OR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS Q� � <br />EVERETT, WASHINGTON PEFiMIT NO.�L� <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, �F ANY: <br />l,(�1Cf l v1 ' r�inn_D ��i'vl� S � <br />HEREBV APPLIES FOR PERMiSSION 70 `�f� '� %���� — ��✓rZ��r� -- -/•�S <br />� /- / ,^ I �vy� ` (J <br />AT THE FOLLOWING LOCATION '-1�y PL S�/�/ _ /`�'���] r S_i /�L . S• � <br />DRAWING (WORK TO BE DONE) OR THREE PLA:VS ATTACHED: <br />-+-N Ac.co2D au�.E- <br />�`r' �- � /�n2 <br />.a,-rn <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWEA COMMUNICAilONS <br />DHPINAGE TRAFfIC <br />CONSTRUCTION/AS [3UILT <br />f{ p p ,2oJ C-D <br />t� �-A A1� <br />DRIVEWAY SECTION <br />� � <br />� � I" LIP <br />i'�3o1T 1 30" � <br />T <br />The untlersignetl owner hereby agrees lo ha10 antl save harmless <br />Ihe City ol Everetl iwm any enE all claims lor Uameges. cosis. <br />expenses. or causes ol action Ihal may arise beca�se ol installelion <br />antl mainlenance ol Ihe improvemenl or ot�er righ4of�way use <br />hereio ap01ie0 lor an0 Wtlher agrees t0 �emOve same upon nolme <br />Imm the City antl to replace pubhc properly tlamage0 Ine�eby. <br />�N�(—��/y'% <br />tELEPHON NlIMB ALIERNFiE <br />�%,L�I�I <br />oA,E —� <br />1978 <br />