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__- - <br />�, <br />�y <br />� _. <br /> i ���.�n <br /> r � APPLICATION FOR RIGHT-OF-iNAY USE PERMIT <br /> Type or print Cleady with ink <br />�� PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS �f�33 <br />� EVERETT.WASHINGTON PERMIT NO. <br /> iAPPUCANT�UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: -- <br />` HEREBY APPLIES FOR PERMISSION TO — <br /> I O /� <br />� AT TH�FOLLOWING LOCATION C'J C � �/ � ��� � v� �� — <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> I <br /> I <br /> DRIVEWAY SECTION I <br /> PERMIT IS VALID FOR 60 DAYS t�-- ----� <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED � I" uP � <br /> ON JOBSITE. 30�� I 30" <br /> '1' <br /> CALL FOR INSPECTI�N �53-881 1 � i <br /> , 24 HOURS BEFORE CONSTRUCTION The unders�gneC owner hereby agrees lo hCld and SaVe �armless <br /> I Ine City ol Everelt !rom any an� all Claim! lor tlamaga3, cosis. <br /> expenses.or causes al acbon�hal may anse because ol installation <br /> an� mamlenancc e� ihe imp�ovemenl or olhcr nght-of-way use <br /> hereto applied lor antl fur�her agrM_'s to remcve sdme upon noUce <br /> I Irum Ihe Cily antl b reDlace puDiic prOper',y Oamdgea Ihere�y. <br /> I DEPARTMENT APPROVALS — <br /> ISEWER COMMUNiCA��ONS <br /> pqRIN�GE TRRFFlC /��rf <br /> � i �JZ�L(./�1�1 <br /> WATEP _ . Pl/NNING. ' SIGN i119E OF�PPLICANt � <br /> > <br /> I ;. ' - . .'t '� . � '. .. � —s' ' � � ��. �_¢i(/+ <br /> �- ' RDORES. <br /> STREET l� � � <br /> �," �- (/�'� — j, .-)C ;� � �—e �r i Cva , tp s jc, 3 <br /> /�� /.��/} �1� � � ; 7'n � � 1�� �� � � ciir � 1iN <br /> a.�/ v <br /> q P OVED FOR CON FiUCTION OAiE G S�� j �/ __, _ <br /> . � 'ELE�MONE NUMBER 4liEPNPLE <br /> pPPROVED AS CONSTRUCTED � OATE Dn1E <br /> INE�ERENCECOPY Fre �978 <br /> _, � <br /> t< �"�'��rs �,� � I� i' ' <br /> ��_. _ .r. <br />