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everen <br />Q APPLlCATION FOR RIGHT-OF-WAY USE PERMIT <br />v Type or prin� clearly wi�h ink <br />PRESS HARD - YOU AFiE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT,WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF <br />HEREBY APPLIES FOR PERMISSION <br />ATTHEFOLLOWINGLOCATION L--/76 I , IA�Ili�Q 1�7��'J�,-,�r � <br />80$ A� B- SS�'`' �L. S,GJ. Ei.ereA�� !c/w. 9BZ0.3 <br />DRAWING (WORK TO BE DON ) OR THREE PLAN.S ATTACHED: <br />Gr <br />On/9 i91iiJ� //rS�✓J ib2 Sr�2� I'�-�I� /�Y7P/�vutr�i,[i�/.� <br />PERMIT Ig YALID FOR 60 DAYS <br />COPY OF THIS APPLICATION T:J BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 2'.�9-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWER � COMMUNIC/•TIONS <br />DRAINAGE <br />WnTER <br />PLANNING <br />�� ��-Y�--- 3�i���/ <br />APPROVEDF CONSTRUCTION OaTE <br />�> %1� ���--�'._/�S �i' <br />VED AS CONSTRUCTED DnT[ <br />CONSTRUCTION/AS 6UILT <br />PERMIT NO. R 1— � C <br />DRIVEWAY SECTION <br />� � <br />j I�� LIP � <br />30" 1 30" <br />T�e un0ersigned owner �areh� agrees lo holtl entl eeve �ermless <br />Ihe City ol Everell Irom eny en0 ell claims lor Eemages. costs. <br />e�penses. or causes ol eclion t�at may ari�e because ol installetion <br />anE mainlenance ol the imp�Ovemeni or othe� rig�l-ol-wxy use <br />hereto applmC lo� anU f�riher agrees lo remove same u0on not¢e <br />Imm tne Cay antl Io mplace pubhc pmperry tlxmage0 t�ereby. <br />til� i���h <br />4 Z <br />u ��..:: , � <br />CITV � � ,/� $IP <br />��i1— L� � � <br />TELEPMON�MOER /� 1 PLiERNAtE <br />� P�J I� a l`� I <br />04TE <br />1978 <br />