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1 L[ <br /> tY <br /> PyeFPfl APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS PERMIT NO.--_-- <br /> EVERETT,WASHI.JGTON <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED,IF ANY:— r' .�.I3 <br /> I <br /> HEREBY APPLIES FOR PERMISSION TOTlistaIl n 2-1 " C'f,Vtr —L"Iw <br /> -- - _ /I r <br /> AT THE FOLLOWING LOCATION.—1t1J_1— -9�`�� <br /> )O-$D <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> / n-Y Lt� wfC LAw r3ww'.PSr.Y � Aw� �Aw�n`C. �OwG � 7nvn!- <br /> �//�1N r'.:�� fp.•�� 1 N.�I 'loL1/ fTa' or 1 rem UVCD w-v iGr6rex �v <br /> ,l'.Vrl- S.n7p QC.tOf! .�].��R�T 10•� . <br /> 1 <br /> 11 1 1 f 1 Nay t <br /> it- Ew\!}Lw�Pf.+eweL..++ S�oL+�A bt1 ArTL11 It 3'ar view hO my/e',1 IF <br /> 77 I(p b C , ,r-wll e- _ AL I aT r.q C- <br /> Y\Y <br /> erwa ww-1s hove_ '^ d i <br /> dOi-ztly fCvnsV nX n-D <br /> KNoeklnG- OFF of e_Rcs is No v <br /> RLLOWF� 1 - I <br /> 3, AU co,nc (c.r..e`Ic4s w., s{- be f;a..J _c..�- or -!.�`c-t.'. 0.✓1- `� i <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS -- '� <br /> COPY OF THIS APPLICATION TO BE POSTED IT LIP ---�1 <br /> ON JOBSITE. 30�- X30" <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hr.!I - I save harmless <br /> the City of Everett from any end NI chime for damagesco s. <br /> espensas.or causal of action IheI may ante because of metal) on <br /> and maintenance of the improvement or other right-el-W Uee <br /> hereto appked for and turmnr agrees to remove same up oboe <br /> from the City and 10 replace public property damag hereby, <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC, <br /> WATER PLANNING SIGN RE Or PLICANT <br /> DRE <br /> STREET <br /> CITY <br /> A ROVE E R CONSTRUCTION GATE �)S` 77I / 3S �` I"T/D <br /> \ TELEPHONE NUMBER aL1ERNA E <br /> nnpr.ovEn As coNSTRucTEn nATE DATE <br />