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evrren <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearl r wllh Ink <br /> PRESS HARD - YOU ARE MAKING COPIES Q GG <br /> PUBLIC WORKS O I �lfU <br /> PERMIT NO._ <br /> EVERETT,WASHINGT ON <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED IF ANY._—_1�C7-6L`-15-- <br /> HEREBY APPLIES FOR PERMISSION TO_ T v\c-�a I I—a----"i--�'�-"—�" <br /> AT THE FOLLOWING LOCATION IIJ 1-1- Y- ---------- <br /> ��) T )-fr J <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> `ie- refo,%�e.Q or T rcy ov4 P._9 :erlo.aA "-ko <br /> tf.1.�1 Car vT1[w N<'wy.Jt"sr 1` w.ew I <br /> I �y le_ T N7�"4�I ly — #N I 4T�E1Y'L Mq G f'lY Mw MI�- \ems J11 <br /> 1111 afAV a wA-�S 1'1 o.Vv n 1 d n <br /> m�11� fC w.e.v wX n-✓ 'fG(� <br /> KNOC kI NCr �1 r(^ OI' G_EQP 1'! N40�T <br /> !a V.aw t l7 <br /> 3, Qu Cone Cev+e .�s yy .s� bP- -EA" Ar, -3nVr... o- Ar d-o <br /> �o.•..�', <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED I LIP <br /> ON JOBSITE. 30" <br /> CALL FOR INSPECTION 259-881 1 1' <br /> 24 HOURS BEFORE C-ONSTRUCTION The undersigned owner hereby agrees to holo and save harmless <br /> the City of Everett from any end all Claims for damages. coats. <br /> expenses,or causes of action that may ones because of Installation <br /> and ma-efenance of the Improvement or other right-of-way use <br /> hereto applied for and further agrees to remove fame upon notice <br /> from the City and to replace public property damaged thereby <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICAtION"= <br /> DRAINAGE TRAfrIC —_-- - <br /> Y.ATEF PLANNING SIGNATOR f PPLICANI � <br /> ql <br /> ,,net, <br /> s a 3=80 - ---� <br /> n n - GUv '�� ) 2 <br /> AISVED O N IRU 1 .N ^v DATE �y� L <br /> % TELEP110 L N e i AL I LRNAIE <br /> L ! iTE <br /> 'ROVE AS CO 5711UC ff0 DAIE OA:E <br /> COIJSTRUCTION/AS BUILT '\ fEE 1978 <br /> 61 k �" �'� r!'':il g""'� � �C "C I Nd1 ,i�` ..i;., -i VL, .r a7.'�9�.W'•�.�i <br /> a <br /> I gal <br />