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`everetl <br />� APPLICATION FOF� RIGFlT-OF-WAY <br />Tyoe or print cSoedy wit� ink <br />PRESS HARD - YOU ARE MAKING COP�ES <br />PUBLIC WORKS <br />EVE:RETT, WASHINGTON <br />AF'PLICANT (UNDERSIGNED) AND FIRM REPRESENTED, iF ANY: <br />HEREBY APPLIES FOH PERMISSION TO_. <br />2 �3 <J ST -'� <br />AT THE FOLLOWING LOCATION I � <br />DRAWING (WORK TO BE DONE; QR THREE PLANS ATTACHED: <br />PERMIT IS VALID �QR 60 DAYS <br />C�OPY OF 7HIS APPLICATION TO E3E POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTIONf 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEwER <br />ORAiNFGE <br />WATER <br />DEPARTMENT APPROVALS <br />COMMUNIC/•TIONS <br />� TRAFFIC <br />PLPNNING <br />� <br />$THEF,T <br />. _� C�L�2_�_ n <br />, APPROVEO R C NSTilUCT10N ATE <br />US� PERM17 <br />PERMIT NO. �� � <br />DRIVEWAY SECTION <br />� � � I'� LIP � <br />� 30" � 30" <br />T^^ undereignad owner hereby agrees to ho10 sntl save hermless <br />tl.a City ol Evereti trom any and eil claims lur demagea. cost5. <br />eapensoa. or causes ol action that may arise because ol instellation <br />antl mamlenance o� �he imOmvemenl oi other righl-ol-way use <br />herelo apphetl br antl lurttier agrecs Iu rcaove same upon noirte <br />Irom �he C'�v antl to replace publ¢ propnrty aamagea thereby. <br />/� _.�l <br />[ / <br />l � <br />$IG���TU G� APPUCnr+T <br />G �� � /�f✓' L;� <br />noonrss <br />Ev ,��TL- �� `� <br />GIIY ZIP <br />��y-��9/ �>�"';��y <br />iELEP 0Y[ NUTABE(i A����hA�E <br />'t / V V __ <br />�. <br />