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��. <br />everett <br />�' APPLICA�'ION FOR RIGH�'-dF-WAY USE PERMIT <br />�� Type or print clearly with ink <br />PRE55 HARD - YOU ARE MAKI�VG ('OPIES <br />PUBLIC WORKS 7 <br />EVERETT,NlASHINGTON PERMIT NO. 7 G� <br />APi'LICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �JC/-'�' �/ //:' �-� ���ii�-rT" Ti jL' <br />r <br />HEREBV APPLIES FOR PEPMISSION TO <br />AT THE FnLLOWING LOCATION <br />� t>,�.�r st _ <br />DRAWING (WORK TO BE DONE) OR'fHREE PLANS ATTACHED: <br />�., � \ ��LL�L� <br />�� � <br />� �' � I,aQ I� � <br />� � <br />�1. 1� <br />(T' <br />PEIRMIT IS VAILID F�E� 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECT16Pl 259-881 1 <br />24 HOURS BEFORE CONSTRUCTIQN <br />DEPARTMENT APPROVALS <br />SEYIEF. i <br />WPTEP <br />� <br />COM�.1UWC4TiON5 � <br />PLANNING <br />�� <br />APPROVED AS CONSiFUCTED <br />� �, <br />S .v <br />_ ._. .._ . ._. . <br />: s�..�—_...rM—�r.. =-c�-+- _ � "' . . <br />/ � '1 <br />j��� d �� ) <br />��',•,'....-c�, iJ.l�/i' -' <br />DRIVEWAY SECTION <br />I" LIP <br />("30 i T 30 1 <br />7he w:dersigne] owner hereby agrees lo holtl antl save harmless <br />�he Cily o� Everell (rom uny antl all claims for tlamages, cosis. <br />expensas, or causes ol action Ihat may arise because o� ins'allnnon <br />and mam�enance ol �he improvemenl or olher ngh�-oi-way use <br />hcreio dpPlictl lor antl lur�her agrees to rempve same upon notice <br />Irum Ihe Ctly antl Io replace 0'�blic propetly tlamaged Ihe�eby, <br />-� <�� �� l/,� <br />NAiURE OF APPLICANL <br />/.3/d � ��.�c r%c . �,�.�_ ''�� <br />nooness <br />�✓� r• �f �1h ��� lJ/ <br />cirv 2ia <br />e-i�J� �`�I.5.5 <br />iELEPMONE NUMpEf1 ALLERNATE. _, <br />L.;,, , i � .�9 i9 <br />OAiE � � <br />�lmtQ . <br />fEE �g�g <br />a�^"T"'t""' .c � :'r.w - r-� � t:1 <br />i <br />