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`everMt <br />� APPLICAI i�N FO�i RIGHT-OF-WAY <br />Type or pnnt clearly with ink <br />PRESS HAAD - YOU ARE MAKING COPIES <br />r�UBLIC WORKS <br />EVERETT, WASHINGTON <br />APPLICANT. (UNDERSIGNED) AND FIRM REPRESENTED. IF <br />HEREBY APPLIES FOR PERMISSION <br />•- T ,_._./�. <br />ATTHEFOLLOWING'_GCATION _�2 �� 2� — '–' / , <br />DRAWING (WOR'K TO BE DONE) UR TH'REE PLANS ATTNCHED: <br />PERMIi' IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTEG <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWER <br />DRPINAGE <br />l <br />WATER <br />COMMIINICATi0N5 <br />� TpAFFIL <br />VLANNiNG <br />STqEET <br />r D <br />A�VED FC NSTRUCTION ArE <br />APPROVED AS C STRUCTED on*E <br />� r,Erer,"ac� co�v <br />USE PERMIT <br />PERMIT NO.�� <br />DRIVEWAY S�CTION <br />� +1" LIP <br />I"'30'7 'r_30 I <br />Tho undersigned Owner hereby agrees to hold and save harmles5 <br />Ihe City ol Evere�t Irom eny antl all cleims lor damn9es. cosis. <br />e�penses. or causes ol action Ihat may arlse because ol inslallation <br />anA mam�enance of Ihe impmvement or other nqM-o4way use <br />hereto apP��etl lor antl�lurther agrees to remove same upo� nol¢e <br />imm Ihe Cily antl to reulace puEhc pmperly tlamage0 �hereby, <br />-- - —� <br />( `,, <br />i . <br />� <br />SIGNATU /OF qPP�ICANT � <br />�. C� (/i/ ` ���'✓• L,�— <br />noo� --F <br />�"U«frr 911�J <br />f.ITV LP <br />� _ �� �--� � � � � <br />TELEP ONE NUMBER 4Lt[RNNIE <br />/� 7��C — _ <br />DATE � <br />tir[:� <br />