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. <br />everin <br />Q APPLICATION F'OR RIGHT-�F-WAY USE PERMIT <br />�♦ Type or prin� clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGT(1N PERMIT NO. ��" �-- � ' - <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �� -, c�� 1 �IL 1� �� �. p�. �� �f .i. � <br />/ <br />HEREBY APPLIES FOR PERMISSION TO <br />.. ._ ��.� �. <br />AT THE FOLLOWING LOCATION � r / ,`'_`�. /-I _ � � � T�� <br />DRAWING (WORK TO BE DO�!E) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAYS <br />t <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPEC710N 25q-881 1 <br />24 HOURS REFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />� <br />sewea - <br />DRAINAGE <br />\VATER <br />COidMUNICFilONS <br />. . iRAFfIC,�I <br />PLANNING� . <br />STFEEi <br />�iL`�� �,�-% �� <br />APPROVED FOR CONSTFUCTION� �� � 1 iE _ <br />APPROVCn n5 CONSTRUCTED n.+iE <br />� <br />DRIVEWQY SECTION <br />j I" �IP � <br />� 30" �30" <br />The untlersignetl owner �ereby agrecs lo hoid ano save h:umless <br />the Ci�y ol Everelt irom any antl all claims lor tlamages cosls. <br />eKpenses. or causes o� aclion t�lt mdy ansc hecause ol inslnlldlion <br />anU maintenence of Ihe improvem��nl o� o�l�w r�9h��n1-wdy use <br />licrclo opt���etl tor anh IurlM1er agiees lo �emovc samc upon not¢e <br />Irom' Ihe Ciiy antl b re0���� �ubli� properlv Jemagetl I��me�y <br />1 <br />� , 1 I `--�+—'� � � <br />S�GNATUBE OF APaLiCnN� �� / A <br />� <br />��-�o <br />__�_� /"' <br />