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everetl <br /> � APPLICAYION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or pnnt cleatly wtlh mk <br /> PRESS HARD -YOU ARE MAKING COPIES <br /> PUBLIC WORKS ���3i 7 <br /> EVERETT,WASHINGTON PERMIT NO. <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: .[/O /V �G� G�J-����/ <br /> /�- U }I�' J /' <br /> HEREBV APPUES FOfI PERMISSION TO�✓����I v��—��t �/,A � <br /> ��6�,l�s–a--r�..��i Gt–vl J ` ' — <br /> ,��� <br /> AT THE FOLLOWING LOCATION <br /> DAAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ��`� � (l(/ �j ��.L�i� IJ �k I ix ( J � �� <br /> `�.Q.�«,._, �_'. _��c�'"c <br /> �,c�l� � � <br /> c���y i� , i <br /> � � � �L.Y—Q� � � r r'(�,.�� <br /> �;i,�,.L.� G S , t`_''��c,(�' L �'�`��`� � /0�'�.; <br /> ;, � <br /> �/ � � U �� -�— ;��� �C�,�LQGt�����:.� <br /> � f�CL���.� � ��rl. Gs-t T <br /> vc • <br /> � � �� � ��-�e� ��� <br /> ��i ?� i� i:�/�1 .. � "r <br /> ,, r � � f� � � � �,�����t - ���� <br /> ��' �U(.�1C� l "�� W� � � � <br /> _� � , <br /> � �� � �� �y(�� ��� ��t. ��!.i,��� f <br /> � ?�.(�'�2','�ii�i � i� •�, <br /> I <br /> I <br /> � <br /> I <br /> � DRIVEWAY SECTION <br /> � PERMIT fS V6�LiD FOR 6Q DAYS � ____.� <br /> � <br /> COPY OF THIS APPLICATION TO BE POSTED �_�i�� LIP <br /> ON JOBSITE. <br /> �I CALL FOR 1NSPECTION 259-881 1 30" �} 30" � <br /> 24 HOURS BEFORE CONSTRUCTION tnc untlersignetl owner �ere�y agrees ro hold and save harmless <br /> ine Ciry ol Everett Imm eny antl all Ueims lor damages. cosis. <br /> c.penses.or ceuses o�aclion ihal may Hnse because ot mslntlabon <br /> an0 mamtenance ol Ihe improvemenl or other ngh4oi-way usr <br /> ncrelo epplietl to�an�Iurlhe� agmes Io remove Same upon nulmi� <br /> Irom Ihe Gty anU to �eplTpe pu01¢ proDetlY 4TmageC Inrieb�� <br /> DEPARTMENT APPROVALS <br /> � <br /> SE�tiCl+ COMMUNiCRT NS ' <br /> pRniNAGE TRAFFlC <br /> X �����.�,-�: � <br /> wn1CH PIANNMG � SiGNFTURE Of APPLiL5,N1 / <br /> /GG � �/�O�r% GG/�v <br /> ;,i��Er � nooaess <br /> � :_�u:;,.�/" •!Jw �..-� <br /> �i- � CIiY ZIP <br /> A 0 FO �CO U N DAiE <br /> J/� LELEPMONE NUMOER �/ AL1EHNrliC <br /> A O/ ��7(��/ 7 '�7���J "�1'_ �� z� }'_.� <br /> &6B1�S ED OAIE � DAiE �" <br /> / <br /> `���J�'f "c. .. . ., l,".I�:,.. �. — — <br /> ( II�'.i' �� .i il -i �[E �9�8 <br />