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' everen i <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or priN clearly with ink <br /> ' PRESS HARD - YOU ARE MAKWG COPIES � <br /> � PUdLIC WGRKS <br /> EVERETT,WASHINGTON <br /> PERMIT NO._�� <br /> � APPLICANT (UNDERSIGNED) AfJD FIRR1 REPRESENTED, IF ANY: �—Nl�Cy����/� <br /> , HEREBY APPLiES FOR PERMISSION TO G��W r/���T �[Q� CQ�� �""�"'� ,p/�1 <br /> �� AT THE FOLLOWING LOCATION_ S// 9 Z,4j �� � J�' W <br /> � �RAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � P-�' � ��� <br /> � , <br /> , , <br /> � <br /> I <br /> � DRIVEWAY SECTION � <br /> P6�NAIT IS VALiD �OR 60 DAY� � ; <br /> COPY OF THIS APPL��ATION TO BE POSTED � � <br /> ON JOBSITE, i" LIP � <br /> ' CALL FOR IN�CTION 259-881 1 i�30 r ----.�-3� <br /> , 24 HOURS BEFO�E CONSTRUCTION <br /> i � T�e untlersignetl owner hereby agr¢es lo holtl and save harmless I�� <br /> � Ihe Q'y ol Everetl Irom any and all claims lor tlamaqes. co5is. <br /> �. esPenses.or causes ol ac�ion ihnt may arise�ecnuse ol installntion �. <br /> dna main�enan�e ol �pe nnprovemen� or oiher ng��-ol-way �i5e i� <br /> '�. herelo apo�ictl lor antl lunhcr agrees to rpmove same upon nobcc <br /> , DEPARTMENT APPROVAL$ �mm me Ciry and to repiace O��bl¢ pwperry Eamagetl t�ereby, <br /> i. <br /> � <br /> I SEW.R -- COMMl1NiCAiiONS I, <br /> _ , pRAINAGE tAAfRC �� <br /> I WATER PIANNING 61 JAI�R[Of�PPLI,AN1 - <br /> ! � !_ <br /> � STHEET � �� � V�� � �' <br /> �DORE55 <br /> tcJFla7%L" /���CS� <br /> ar. z�P <br /> �� APPROVED FGR CONSTqUCTION oA'i E ����0�" <br /> / / 1ELEPHONE NUAtPER � ALI[qN�lE <br /> � A ED:S STqUCTE�p—' ` � T"�y�� . <br /> OniE D4iE <br /> ��orisT,�ucrior.vf�,s eun_�� FEE ��� <br /> 1378 <br /> +._ <br />