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ti �� • <br />eveP��# AP�,LICATION FOR RIGHT-OF-WAY USE PERMIT <br />� TYPe or Prinl clearly wilh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS ?ERMIT NO.�S�� <br />EVERETT. WASHINCTON � �/ ' / <br />6_ � � ` Gv <br />APPLICANT NNDEFSIGNED) AND FIRM REPFESENTEO, IF ANV: � j � '�-/. <br />/ �/Y / <br />riEREBY APPLIES FOR PERMISSION TO---<--�� a <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: n <br />, �� /—%1 l/i��' % �/� k'Y <br />PERMIV iS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTR'.1CTION <br />DEPARTMENT APPROVALS <br />GO���h1UNICAtIONti <br />ORAWAGE TRAFFlG <br />� 1YATER PLANNING <br />STtiEET <br />' .���,J�'(jy✓�/�'� �i7 �/�� <br />. APPRV�'E� F R CONSTflUC N �A [ <br />'; aPPROVED AS CONSTHUCTED DAiE <br />r <br />� <br />DRIVEWaY S�CTION <br />'� j I'� LIP <br />�30 � _�_30 <br />The un0ersi9netl owner hereby agrees lo hold and seve harmless <br />Ihe City ol Everell Irom any an0 all claims lo� damages, costs. <br />eRpenses. or causes ol aclion Ihat may arise �ecause ol installahon <br />an� ma�nlennnce o� �he impwvemeni or othor �i9h�-obwaY use <br />herelo apVbed lor and Iwther agrees to removc same uoon nolice <br />irom thc C�ty and lo �eVlace pubbc proVerry �amagea Inereby. <br />iELF.PHOKENUl�f3C� ��1ERNA�� � <br />�'%L_-.J7��77) I <br />DFiE � <br />1 <br />«< —_— is%a <br />