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everett <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type Of print clePr:y with mA <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PERMIT NO <br /> PUBLIC WORKS - <br /> EVERETT,WASHINGTON <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED,IF ANY' <br /> HEREBY APPLIES FOR PERMISSION 70 <br /> Th- a [L <br /> --r t <br /> AT THE FOLLOWING LOCATION— <br /> DRAWING <br /> OCATION—DRAWING (WORK70 BE DONE) OR TN. -,E PLANS ATTACHED: <br /> 1 <br /> Q <br /> Burt•+` w,n s'�: La.11 b�. r�av� or r E•GA-.o•faa- � t; <br /> - <br /> 'PV4. <br /> 11 Hew <br /> 1 l <br /> • afAv a wn-�5 ,'y wNna_ �L' ^f la�J/ wl- u�• �r.�e'...� �a e.�ltov.'��t <br /> �le+IlA� fCr.rev eNJC n , <br /> 3, !�� LA�G Ccv+e�cls ,.,L.s} be- vnw _C,4- ar Zx1�r . o ✓� <br /> DRIVEWAY SECTION <br /> IS VALID FOR 60 DAVS f.-------- <br /> — — <br /> FPERMIT <br /> PY OF THIS APPLICATION TO BE POSTED <br /> JOBSITE. <br /> CALL FOR INSPECTION 259-8B 1 The undersigned owner hereby egress to hold and esus harmless <br /> 24 HOURS BEFORE CONSTRUCTION Ins City of Everett from any and all claims for damages. co <br /> e.Penta$,or causes of action that may ens$because of install one <br /> and maintenance of the ImProvemenl or other nghl-Of-W Ube <br /> Ye same <br /> from nce <br /> the pcity aar and further agrees nd to replace publctPoperty Barra <br /> DEPARTMENT <br /> neoeby. <br /> DEPARTMENT APPROVALS <br /> COMMUNICATIONS <br /> GEWER <br /> TnAfrIC r / _. <br /> On AINAGE <br /> SIGN RE O/ PLICANTT� <br /> WATER PLANNING <br /> DRE <br /> .2STREET <br /> ZIP <br /> CITY D <br /> 7S i- DATE MTER AT[ <br /> Appq y f q NSTRUCTION TELEMONE NUMBER <br /> - DA1F. DATE <br /> APf'ROVEq AS CUNSTRU TE 1978 <br /> INITIAL INSPECTION REQUESTED fEE <br />