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G <br /> C�«tM <br /> Q APPLICATION FOR RIGHT-4F-WAY USE PERMIT <br /> V Type or print clearty with mk <br /> PRf:SS HARD - YOU ARE MAKING COPIES <br /> Pi IBLIC WORKS �CJ, (/3 <br /> EVERETT, WqSHINGTON PERMIT NO._�� <br /> APPLICANT (UNDERSIGNEDI AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO <br /> �� �� � <br /> AT THH FOLLOWING LOCATION _ �J d � i S V� <br /> DRAWI�VG (WORK TO dE DONE) OR THREE PLANS ATTACHED: <br /> li <br /> � <br /> � <br /> i <br /> � <br /> 1 <br /> � <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DANS � � <br /> COPY OF THIS APPLICATION TO BE POSTED r� + i" LIP 7� <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-889 9 �..30" _ _�30� <br /> 24 HOURS BEFORE �ONSTRUCTION <br /> The untlersigned owner hereby agrees to h010 antl save h�rmless <br /> the Gty ol Everelt Irom eny and all elaims lor tlamages. cosls. <br /> eKpenses,or causes of aciion�hat may anse becau=e ol installahw <br /> :mtl mamtenance oi Ihe unprovemenl or other righl-obway use <br /> ❑ereto appLetl lor and hulhei agrees Io remove same upon noUcu � <br /> Irom Vir Qtv ��n� lo renlacr Du�hc proRer�Y dpmT9etl Incveby <br /> DEPARTMENT APPROVALS I <br /> — — _ __— <br /> _.r::f�, COG4�UNiCniiONS <br /> L�Ribf.GE iqpFFlG � <br /> / <br /> �-�a��2t�u»-, <br /> �'::.ifi: PLANNING --'— -- <br /> SICN 1U�EOFAPPLIGqryi /// � <br /> �YL ��, � '1� �LV � I <br /> �.r.�6Ei — '_ I c�• <br /> � MC1�IESS <br /> ��� / U�_� �L �e�ee- r , �va • , � �'1c% 9 _ <br /> ��.. Z�N <br /> n Nr�uvEOFor+co criou nnrF ZS�� j �/ <br /> / 1ELE�MONE NUfdE1EH pL1EPNAiE <br /> l_`�-�—\�:=-=--.. ,�;v \ '�� 'c'X� <br /> APPROVEDASCONSTPUCInD A�-� DniE UniF -- <br /> J <br /> ���,.. > � � . l�l�':�+.�; ,_ . . _. �c� --- -- <br /> 7978 <br />