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i <br /> — y _ _ . .. - .. . _ � <br /> i everett <br /> � � APPLICATION FOR RIGHT-OF-W,AY USE PERIIAIT <br /> ' Type or print tlearly with mk <br /> PRESS HARD-YOU ARE MAKING COPIES <br /> IPUBLIC WORKS q <br /> EVERETf,WASHINGTON /j PERMIT NO. 7 / `��a— I <br /> � APPLICANT(UNDERSIGNED AND FIRM REPFESENT � � ' T'�—E vU �� �SS '� <br /> I ) ED,IFANY. IR � OC� <br /> I HEREBY APPLIES FOR PERMISSION TO �""NSTK 6tGT TW 0 �F j 3Q' � <br /> �V EWr►�S <br /> � I <br /> � <br /> � _r__M <br /> � AT THE FOLLOWING LOCATION_ �-7 �"'�'�7�-G S �. <br /> I <br /> DRAWING (WORK TO BE DON►) OR THREE PLANS ATTACHED: <br /> '� '�j-,,,.q,��c,Q.�i ��.� �.v �r� �u�iL C�.,� 5�!��..� Go-x.c�e� <br /> , � <br /> ^ ' �QL ��� , i <br /> i �'µ r <br /> � � P(y.-v-?� C��-` . <br /> -�-.a.� ��� �" �-�-���' <br /> I � � <br /> � <br /> - , <br /> I . <br /> I <br /> � I <br /> � �� <br /> ; <br /> � <br /> . J� <br /> +� <br /> !'R <br /> � <br /> �, <br /> I DRIVEWA'I SEC710'� I <br /> �I PERMIT IS YALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED <br /> I + 1" UP ; <br /> � ON JOBSITE. I 30" 4 �.30" I <br /> i CALL FOR INSPECTION 259-981 1 <br /> � 24 HOURS BEFORE CONSTRUCTION The undersignetl owner hereby egmcs to huld ann save�armles9 I <br /> I ihe Cii'/ ol Ev?refl Iroin eny and all claims lor demages, cosis. I <br /> I Eappb4E5.O!C2U9C!OI 3CIi00 IhBi f118y 01i52�PCOJSC UI ip51d112hOt1 <br /> an0 maintenance ol Ihc imOwvement or othm nghl�ol-way use i <br /> j . , here�o apObeO br an0lurther agrees lo remo��e Seme uCoi�nobte � <br /> I ' ' ' - Irom t�e Ciiy an0 lo replac? Oublic Oropeil/ aamagetl Inereby, <br /> i DEPARTMENT APPROVALS <br /> I <br /> I SEWER LOMMUNICAIiONS � . . <br /> � <br /> I pPRINFGE TRRFLIC � ; ..� �•r� <br /> ` C� �� � i <br /> / I <br /> i WATER PLANNiNG ' SiGNAiUR�EOFR�Nt � <br /> /OD�- /� Sa, <br /> STREET PDOAESS <br /> � Hu� ,S,Jo.�,w,s� ��./�, 98��9v <br /> � Qt t <br /> `���-- � 1 f]/� � ��.. � / z�P � <br /> PP OVED FOR RUCTION /% r oere _SVd-`t .�tj� �` /�j ' 3� 7 � <br /> C�U <br />� (,.` ��/""..-��i��// '/ � /�_C // TELEPnONE NUMB R ALtERNRTE <br /> r ln ^/5` � 7� <br /> �PPROVED AS CONSTRUCTED � �Dnr� DAtE <br /> CONSTRUCTION/AS BUILT �E� 1978 i <br />