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everetl <br /> APPLICATION FOR RIGHT—OF-WAY USE PERMIT <br /> Type or print clearly with mA <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT.WASHINGTON // ���� TLIPERMIT NO. "�' ll:' <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED. IF ANY _ CM A T1- � L, Cll� - 1 j, Q-T1/1 I +-i ILto ' <br /> _ 1 <br /> HEREBY APPLIES FOR PERMISSION TO <br /> AT THE FOLLOWING LOCATION 1 Ol -7 1 }I� �� F <br /> 4-61 <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � 1 <br /> 1. c�AwnYn�C c)o..e >•.vwt <br /> �IAr.•.a .:o.,^�; ..I•}I b� re`/naflSY u. rt s.aoveKl ....v re'r 6a e4) <br /> I <br /> a, Ew1S}In1 Cle.+e vn n.ls Ss•.o..1 al eve .• . ( LeaY i'ur vvew InO.r e'sr 1� •new, <br /> ITIA, eY t.�'i ,� G♦(>• <br /> -y�i.�11y fe..nov 6J( n..J re��n�•�� 4� "e., Ar..vewR, �a r.utt o.. •....Y <br /> 0-.%4-t,�[ .ICiwe .,•ml Joc.J.,v— - KNOCILINC- OFF of c_r¢c5 1'S P40 c <br /> ALLOwc D tt <br /> be t>nw ew� Cr st�tH O-,A" <br /> Yleare-a� af. lJr,.•L7,G.-, ��;...�-• <br /> 0 <br /> v �I� L <br /> nr <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS I� — <br /> COPY OF THIS APPLICATION TO BE POSTED N JOBSITE. Iff (I" LIP <br /> 30" <br /> OCALL FOR INSPECTION 259-881 1 t'30 'I' _-- . <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and Save harmless <br /> the City of Everett from any and all claims for damages, costs, <br /> expenses.or causes of action that may arose because of Installation <br /> and memtenance of the Improvement of other righl-of WAY use <br /> hereto applied for and further agrees to remove same upon notice <br /> from me City and to replace public ProperlY tlalnageo meleby <br /> DEPARTMENT APPROVALS / <br /> SEWER COMMUNICATIONS <br /> DRAINAGE fRArrIC <br /> 'WATER PUNNING - - SIONAT Of APPLICA v <br /> ADA SS <br /> STREET <br /> CITY <br /> A40\16 FOR CONS RU TION DATEN_—�'� <br /> TELEPHONE NU BER ALTERNATE <br /> APPROVED Al CONSTRUCTED TATE DATE I / ' <br /> fEE 1978 <br />