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- �.�; .. <br />, <br />�.. <br />eveln <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type o• rrint cleerly with mk <br />PRESS HARD - YOU-ARE MAKING COPIES <br />PUBLIC WORKS . ' ) <br />EVERETT, WASHINGTON PERMIT 1V0. v <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HERERY APPLIES FOR PERMISSION TO�Lslfr�.,v_+ctlli� � CO�RETF �L�fE�IlQy __ <br />' °" A. � ,Co� �3 <br />AT THE POLLOWING LOCATION _� .���'�` i2I��—� <br />ORAWING ('WORK TO BE DOWE) OR THREE PLANS ATTACHED: <br />��� � I , <br />A7- � ,�l �.L. �( - iyrt ;{� li2��f% C'%' .,'" C.�V �ji,�'7'c_l",i�L <br />�l.t-,I"t'`�Ij'•ti( A � . `-�-� � i - <br />U l v <br />-�, ��.-, --�� ,�� �';_,.,� . <br />, , �� <br />��� �� �-y� r _ `" � � G. � � U.� � '-cv`-� , <br />/��,. �� �-�-���� � � �I _ l.r 1 , �.L. {j <br />U`. ' . �� � � . <br />� J <br />PERMIT IS VALID FOR 60 DAYS <br />C�PY OF THIS APPLICATION TO BE POSTED <br />ON J��BSITE. <br />�f1LL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />DRAINAGE <br />WaTER <br />DEPARTMENT APPROVALS <br />COMMUNILATIONS <br />TRAFFIG <br />P�ANNING <br />t �-a-� <br />oare <br />/ /O �� �o V <br />DRIVEWAY SECTION <br />� � <br />� +I'� LIP <br />30"� _�_ 30' _J <br />,� <br />The �ntlersigne0 owner hereby agrees b holtl antl seve hnrmless <br />Ihe Cily ol Everelt Irom ony ana all claims lor tlamages. wsts. <br />eKpenses. or causas ol acticn thal may arise Eecause ol installelion <br />and mamlenance ol ihe �mprovement or other righ4ol�way use <br />herelo aOPhetl lor antl Iwt�er agree5 Io remove same upon nohce <br />Irpm Ihe Ciry antl �o re0iace public Dropr.rry tlamagetl thereby. <br />G� <br />l <br />GNATURE OF A PLIO.Ni <br />1�.9/6 �a�ein��i�1�/ <br />ADOPE55 <br />�,�'���� �'2-03 <br />3�s-9/P''� 2�'2 �i�8� <br />TELLJEPHO�NE NUMBER ALTEflN�- <br />ISV YG/� �� <br />nn*r <br />