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everen <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />T ype or prinl clearty wilh mk <br />' PRESS HARD - YOU ARE MAKING COPIES <br />�� PUBLIC WORKS D <br />EVERETT, WASHINGTON PER IT NO. � � <br />I��✓Str! fe�r--r� ����� e 1 � c. <br />APPIICANT (UNDERSIGNF.D) AND FIRM FEPRESENTED, IF ANY <br />I HEFEBV APPLIES FOR PERMISSION TO <br />AT THE FOLIOWING LOCATION <br />lD_�G�� /-5-� f�[�YFl�� /��f� �_ __ <br />_�—' _ <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />CD.tiO/ i /d.U/9G /9��Pad��, -d'�disF.�s �,�ia�s y� .� �,����vEa <br />,B% 3/z�/� <br />. <br />PERMIT 18 VALID FOR 60 DA.VS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL F�R IN�PECTION 2S9-8e1 1 <br />24 HOl1RS 6EFORE CONSTRUCTION <br />f7FPARTMENT APPROVALS <br />GOMMUHiC�liONS <br />InnfilC '— <br />AP VE FOR C NSTR C � �'�*� <br />—�`' � � - " � /,�`- -/� , <br />` ,.�>�-�-.l�l�---� - ` - - <br />���,������.��r �,��.,� , <br />�. <br />` <br />DRIVEWAI'� SECTION <br />�- jl" LIP � <br />� 3p.�-- � 30„ <br />Tne unCersiqneA owner here�y epreee to �alA enG eeve ha�mieas <br />�'�e City ol Everetl irom eny anE ell Uelma lor Cemagee. caeb <br />e.{wnsen. nr causes ol eclion Ihei mey enee Cecnuee ol mslelleban <br />and .naintrnence ul Ine �mprovement or ol�er righ4obwey use <br />be�eio erp��eU �or enC lurthei 9A�ees lu remove snme upon nul¢e <br />Imm I�a :�ly anA In repllcB puhLc pm0erty OamxqeA �ne.eby <br />[6 <br />�.�`^ � <br />n�' <br />_ z�9 -�1 _-- -- <br />�E�k���UN[ N��MIiER a�if�MA�L <br />