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<br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT
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<br /> PRESS HARD - YOU ARE MAKING COPIES
<br /> PUBLIC WORKS
<br /> EVERETT, WASHINGTON PERMIT NO.� <'�7
<br /> APPLICANT (UNDERSIGNFD) ANU FIRM REPHESENTED, IF ANY: �I �i`ri� �'/k- Cl �� /'Lx � r f-/[-;y�� �,yyr �
<br /> HEREBY APPLIES FOR PEFMISSION TO_��(,,��1-'� �Y-7L. ��1 ,il �G� _
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<br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED:
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<br /> � ORIVEWAY SECTION �
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<br /> ! PERMIT IS VALID FOR 60 DAYS � � I
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<br /> COPY OF THIS APPLICATION TO BE POSTED i
<br /> �� I" LIP —��
<br /> � ON JOBSITE. �,30" + I so" �
<br /> � CALL FOiR INSPECTION 259-881 1 --�t•
<br /> i 24 HOURS BEFORE CONSTRUCTION ,
<br /> The untlersignetl�ownor hereby ao�ees Io ho10 antl save harmless �
<br /> Ihe Gty ol Everelt trom,any and all claims lor tlamages, cosis. � ��
<br /> i eKpenses.or causes o�acimn�h;1i may ans�b�Cause o�msiallalion ,p�.;
<br /> intl mainiennnce o� Ihe improvcmenl oi ollter nghbol-wdy use
<br /> herMo apPheo lor antl lurlher agrees Io �amove same upUn nol¢e
<br /> DEPARTMENT APFROVALS ' Irom p�e Giy ana io replace pubbc p/operly darnageU me�eby. �
<br /> sEwee tonn.vwc.�no�vs �
<br /> DRAINAGE TRAFi1C �
<br /> i IVATEIi PIANNING SIGNAIURE Of�VPIICAM �
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<br /> I A� VED FOR CONSTRUCTION o,�rE . , i�
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<br /> AP�Bp�'LD AS CONSTHUCiE� DnrE oa*f � '
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