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everen <br />� APPLICATIOPJ FOR RIGHl'-OF-WAY USE PERMIT <br />TyPe or prmt cleady with mk <br />PRESS NARD - YOU ARE MAKING COPIES p� ./ <br />PUBLIC WOf'.KS ���� "� <br />EVERETT, WASHINGTON PERMIT NO. <br />APPLICANT (UNDERSIGNED� AND FIRM REPRESENTED, IF ANV: <br />HEREBY APPLIES F7R PERMISSION TO�r_c�4�� /� ��4HT—G� vl!„y <br />ATTi �FOLLOWINGLOCATION ���� � ��� ST <br />DRAWING (WORK TO @E DONE) OR THAEF PLANS ATTACHED: <br />P�RMIT !S VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO B[ POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 25�-889 1 <br />24 HOURS BEFORE CONSTRUCTION <br />sEwE�� <br />ORAINPGE <br />WATER <br />DEPARTMENT APPROVALS� <br />COMMUNICAt10N5 <br />innFcic <br />O�pNNING <br />STFEE? <br />���� �-� �-'- �U <br />PP OVE� FOR STR iION DntE <br />a'V�/i�ih'^-'�"_. � •- � � li � <br />AP/y � D AS CONSTFUCTEO DnTE <br />t <br />�:lij�!;il���'.UCI IGIJ%iyf'i L�U��=I <br />DRIVEWAY SECTION <br />I'� �IP <br />�, 30"�—_--T30" <br />The untlersi9neC owner hereby agieer. to holG antl save harmless <br />Ihe City ol Evor�lt Irnin any an0 all claims lor Eameges, -osis. <br />eepenses, or causes ol action 11mt may �nse because of ins;ullahon <br />anG mainlenance o� ��e �mpmvfinen� or alhrr rign�-obway use <br />hCmlo appl�ed for dntl �ur�hc� agrees lo remove Same upon nolice <br />Imm �he Gtly antl lo rc0��ee pu01¢ pmOrrly Oamagetl IM1ereby. , <br />�/� <br />Jn� � � �x � � rP <br />$�GNAiORE OF APPLCAM / - � ' <br />��i�0-�i CI�\L �SUI�iE �� <br />noonEss <br />��e�,�-r-r_� w� �� zo i <br />��,. <br />a58-�4�95 2Z8-�-�9� <br />1ELE�'��ONE M1Oh1�3El1 q�1EPNNIE <br />-�c. 31, \n'1� - <br />DAIE � <br />