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J� APPLICATION FOR R�GHT-OF-WAY' USE PERMIT ' <br /> Type or pnnt clearty with mk � <br /> � aUBUC wORKS PRESS HARD- YOU ARE MAKING COPIES � <br /> ' EVERETT,WqSHINGTON I <br /> ' .t ' p�ar��r No. 7 �1 a/� ' <br /> ' APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF qNY: I�.�F'�..�'L� ' �U L� �LS ` I <br /> ��1•�, !� �• <br /> HEREBY qpp�lES FOR PERMISSION TO �—"'NST GGT TW O �� 3�� � � <br /> � !V EWqy�S <br /> i <br /> � <br /> I <br /> I AT THE FOLLOWING LOCATION �L-�v " �N S' / � <br /> / !o <br /> j �RAWING (WORK TO BE DONE) OR THREE PLANS ATTqCHED: <br /> I <br /> I � �"Y'1�Q�4�j/1't_c �(� �f.(i2/(j�/ %�{�jf!/!i CC�n.� s� �7��.� <br /> I � � <br /> � �.f-(�'OL.�„� , � . <br /> � �� <br /> i <br /> � /� <br /> I � O�f✓V-�/ CI.�C.G<� ` - I <br /> � � ��.-�-.a.c� �t-�.t �- ��-�- � <br /> � I <br /> i _ � <br /> , <br /> ' I <br /> : i <br /> � � <br /> � <br /> �� ; <br /> I . . � <br /> i �: _y: . -��, . I <br /> l� I <br /> � I <br /> i �^1 <br /> I I <br /> � DRIVEWAY SECTION I <br /> � PEIiMIT IS V/.SLID FOR 6Q DAYS � <br /> � f'------ --� � <br /> iCOPY p�F THIS APPUCATION TO BE POSTED � <br /> ON JOBSJTE. 1 i" LIP --� <br /> i CALL 1=0R INSPECTION 2S9-p8� � �+30�.�-- 30" i � <br /> 24 Fi'OURS BEFORE CONSTNUCTION y� <br /> I 7he unEerciB�eO owner hereDy agrees to holtl antl save harmiess I <br /> I Ihe City o/ Everett Qom any ane ell tlaims for tlemeges, cosls, I <br /> PkpEn5E5.O!L911lE!OI eCIi00�h3�rt13Y e�iSB 6CC2p5C OI ip5�d118I�011 I <br /> �� anE mainlenqnre ol Ihe im0�o�ement or olhM righl-pl-way use i <br /> ' . . , her¢Io appliea br antl lunher agrees to remove same upon nohce � <br /> DEPART�uIENT APFROVALS - �rom ine Cny a�o to red�ace pubbc propeny aamaged Ihereby, ' <br /> I <br /> I j <br /> i SEwER- <br /> COMMUNICATIONS i <br /> l <br /> I ' ___"_ 1 <br /> OR/INRGF. TRqFFlC '"� <br /> 11 �� <br /> I WATER t ` i <br /> I �lpryfllNG SIGNRiURE OF AP Cpb} <br /> ISIREET y � /O�d- IU-7� S�. I <br /> / /� � ���ppp 4DDRE55 <br /> I r�'Y �.1. r���a � NUL S.t�Or/Un�-/.s„/ //!.(� !CJ�/ v <br /> �� � Gir <br /> PP OVED FOR lil1CTION <br /> I `_ _–/ . , �/ .� J',E 5vd-5�'£.i� [� Z,P — � <br /> —? � / �_�U -�� � ^� f <br /> r /� '//��� ,� '��/�_�/__ tELEPMONENIIMBER \LTCFNAtE i <br /> t� �l/J Tf� C�� � �` <br /> I �PPROVED AS CONSTRUCTED � ��� � � / — I <br /> DATE 1 D4TE <br /> CONSTRUCTION/AS BUILT �EE �__ ' <br /> 7978 <br /> ,M�. <br />