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, <br />• .�- <br />���hn <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or prin� Clearly with mk <br />PRESS HARD - YOU AFE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISS�ON <br />AT TNE FOLIOWING LOCATION - <br />� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />��l �' 2 csQ. t V 2¢- ��-✓ TS <br />PERMIT IS VALID FOR �O DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION �59-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />sEwEn <br />pRPiNAGE <br />DEPARTMENT APPROVALS <br />co�.v.�u�acnnur�s --._. <br />r1::.if.0 '_.-- <br />�IANNMG <br />SiREET <br />L1�rLw- ____- ( ��'fl 8 0 <br />AqwrJp�ED FOA CONSTRUCTION DaTE <br />Y <br />APPROVE� AS CONSTRUCTED pqiE <br />, ._... i . ,�,�CTlnl�l �_r_-:U-S f�_,� <br />PERMIT NC.____J �_^__ <br />DRIVEWAY SECTION <br />�— � <br />�_ � I'� LIP <br />L. 3C� __ � 30" <br />i <br />The untlersignetl owner hereby agrees to �old and save harmless <br />Ihc Cily ol Everett Irom any antl all �taims lor damages. cosis. <br />c.penses, or causes ol aclion ihal may anse because ol msfallalion <br />nn�1 man�enance o� Ihe rm0�ovement or oiher righ�-obway use <br />here�0 apphed IOr and lur�her agreCs �o remOve sam� upon nOIKo <br />Irom Ihre C�Iy dntl 10 repldee pu�he OrOpetly tlamagutl p�CreDy <br />—1 i <br />,���. �� V `. .,. •� / /�/� � /� <br />--`�—�'ti�--'wEa � <br />SIf.N�iV�E O� A✓O�iCAN� — <br />_�l� J (i - �'�-'L' � o � <br />noouFss �'-- <br />ry _ ; , <br />. `7��( / <br />Urv 1iv -__. <br />"� � � � L ', '1 � <br />� i / <br />1ELEPHONE NL�I.IFIER ARERNNiE <br />/ � � ( l_: <br />// — � �I <br />OAiE <br />