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- ------- - - .- <br />' -�-�.-.: �- . -- . <br />, <br />everen <br />Q APPLICATION FOR RIGHT-OF-WAY USE wERMIT <br />�; Type or print cleariy with ink <br />PRESS HARD - YOU ARE MAKING COF'IES � <br />PUBLIC Y,'ORKS <br />EVERETT. WASMINGTON '. � , PERMIT IVO. r� �r — <br />APPLICANT (UNDERSIGNED) AND FIRM HEPRESEN7ED, IF ANY: —' <br />�: ` <br />HEREBV APPLIES FOR PERMISSION TO ^ � " r� '. I ', 'r �� � ..1� / ".' ' '�-y^ !��'i= �� �,• � �� �!� ��"i1 <br />i <br />AT THE FOLLOWING LOCATION <br />ORAWING (WGRK 70 BE DONE) OA THREE PLANS ATTACHED: <br />v <br />PERMIT IS VALID POR_ 60 DAYS <br />� <br />COPY OF THIS APPLICRTION TO BE POSTED <br />ON JOBSITE. � <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />� <br />DEPARTMENT APPROVALS <br />SEWER COMMUNICATIONS <br />OR�INAGE TRAFFIC <br />YL�NNING <br />DRIVEWAY SECTION <br />� � <br />I <br />I" LIP <br />r3p'� 1 _L30" <br />►t•• <br />The undsroiqned owner �eraEY aqroae to hoW �nA s�vo Mrmleas <br />ihe City of Everett from any enE all claima for Eam�q�y, eoate, <br />expenses. ar ceusee ol ection thal mey arise beeeuse ot inaullation <br />en0 mamtenance of t�e Improvemen� or ot�ar nq�l-ol-way una <br />nere�o apP�ieC lor and lurl�er agrees to remora �ame u0on noliee <br />Irom Iha C�ty an0 to replace OuDlic C�operty Camayetl Me�eOy, . <br />1 / �� _� � / <br />$IGNATUN OF �PPUGINT <br />/ r i/, <br />��/%r-- .-i; S� �- . <br />STflEET �DORE55 - <br />,t � " _ /s�F��E/%%�— fl7?C � <br />. ��% �' / �jl. � �^ (� . CITY � T � f � �� ZIP • . <br />1%�%l�Y� <br />A PROVE A N DATE s�e !� � <br />iELEP110NE NUMBER AITEPN�TE <br />? " � - i'`i' _ �p . <br />APPROVED A NSTflUCTE D�TE • ��TE <br />� . �kY'= � . . <br />TNI'T'tAt—IfQ� ree 1978 <br />, ��,�,u. .;- r��;r.-,:.t -.e�-,�' ;_� .. -' _ <br />