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<br />everett
<br />� APPLICATION FOR RIGHT-OF-WAY U�E PERMIT
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<br />FUBLIi,iNORKS �- ;��-( ,
<br />EV[RETT, WASHINGTON PERMIT NO. '
<br />APPLICANT (U^lDERSIGNED) AND F1Riv1 REPRESENTED. IF ANY:
<br />HERcBV APPLIES FOF PERMISSION TO �� ��1� lt V�1 l C� � ���� 1 l (.� �' %� -
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<br />AT THE FOLLOWING LOCATION 7� 8 A"'-. �j S J S�, S, ��
<br />QRAWING (VJORK TO BE DONE) OR THREE PLANS ATTACHED: 7��'sa
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<br />PERMIT IS VALID FOR 60 DAYS
<br />,^,OPi OF THIS APPLICATION TO BE POaTED
<br />ON JOB�ITE.
<br />CALL FC1R INSPECTION 259-881 1
<br />24 HOURS BEFORE CONSTRUCTION
<br />SEWER
<br />pRAINAGi
<br />DEPARTMENT Ai'PROVALS
<br />C( MMUNICATi0N5
<br />tRAFFIG
<br />WATER PLANNING
<br />STREET � � � �
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<br />�„ 'D7' .�., . �a-, r� ��.. _ L� :,, -3 � -8�U
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<br />CONSTRUCTION/AS BUILT
<br />DRIVEWAY SECTION
<br />j I'� LIP __�
<br />� 30�� 3G'�f
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<br />The unAersignetl owner hereby agroes to hold and save hermless
<br />Ihe City ol Everett Irom any :�d ell cleims lor damayes, cos�s,
<br />etpenses. or causes ol action Ihal may arise because ot installalion
<br />an0 maiMenance ol Ihe impmvement or other righ4ol-way use
<br />here�o applietl lor antl luriher a9rees Io remove same upon noDce
<br />irum Ihe Gty an0 to replace public properiy Aarnaged IhereGy.
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<br />TE�EPHONE NUMBER ALTERNFTE
<br />DAG�zy /se
<br />978
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