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. ..�.�. r. •� ... . � � _ <br />.� � <br />e' ��ti •,� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� TYPe or print clearly wilh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PU!3LIC WOHKS � PERMIT NO. _L ' J— <br />EVERETT, WASHINGTON � ^ ,�-� � � <br />P.PPLICANT (UNOERSIGNED) AND FIRM REPRESENTED, IF ANV:� /�' �C /���Y� �' �'°-i�"` <br />HEREBY APPLIES FOR PEFlM15S�ON TO�.����`sj��6 ���N��� ��vE��� <br />T/'F �� . �� <br />AT TfiE FOLLOWING LOCATION <br />J <br />DH!►WIMG (WOIiK TO 13E DONE) OR THP.EE PLANS ATTACHED: <br />, � <br />�( i , ' �ll �lJ—!� � ,'��' � �i/�2.� ;r +-t, �i t1 � <br />,�r„_d � - <br />i��J � ="'`�" <br />/� /1 �/ _� �� <br />l:':;�;�.:1'1fi/„'J� �� � v�i��"ir.'��/�,/ �'�%vLQ� <br />�(�.... Q ���� <br />, �� , <br />� <br />:"�% (1�.�'�i. �j ' ��i V'1'I, �(��-�,,'i�-� (,r � -G(/'� � �; � <br /><J <br />t � <br />Ci.' _J C'. { 1�.':'r :. �. Y� ,.. � � ,•, e• ... <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />GALL FOR INSPECTION 23�-681 7 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />OFPINAGE <br />DEPARTMENT APPAOVALS <br />COMMUNiCA�lONS <br />TRAFFIC <br />PLANNING <br />STREET <br />�u� r�' �� <br />P ROVED FOR C 5T UCTION oAt <br />/� ��� <br />, ROVED AS WNS UCTED DATE <br />(( .,,�n:%�, <br />DRIVEWAY SECTION <br />� � <br />�— � 1,� LIP � <br />�30�, I _�_30"_� <br />�t'• <br />The untlersignetl cwner herehy egrees to holtl enC seve harmless <br />Ihe City ol Everett lrom any enE all claim% �or tlamsges, cosis. <br />ezpenses, or causes o� ection ihat may ��rise beceuse ol inslal��ation <br />and main�enante ol t�e improvement ur olher right-0�-way use <br />herelo appliea lor tnd �urlh¢r agre85 t0 remove same upon notice <br />Iwm Oie City antl to repiace puolic i'�operry tlamaged thereby. <br />�qi� �..�vEu6�.�i/�s- <br />A DRESS <br />_.T���R�� �2�� <br />�.3�.5=9/G� z�z-�9B.� _ <br />TEI.EOHONE N�E�S�� ALTERNRTE <br />� —�'_ <br />�PfE <br />