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-„ � _ <br /> , <br /> � <br /> evercn <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clea�ly wilh mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS �{ <br /> EVERETT,WASHINGTON PERMIT NO. 7�� ��" <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: SC�VC✓� ��' ��/ R�UeN`I I S/ �yl V YCN <br /> , HEREBY APPLIES FOR PERMISSION TO 1 vV` nY�Q L�ac 12 O � b�; �d 1 tn y �QY �nYKw.C� <br /> � � <br /> I AT THE FOLLOWING LOCATION ��-Y O f /G I 3 ,�jYOC/CI W N V - <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ' - <br /> � . , �� „ , . � / �. ,.� , / < , <br /> � '� <br /> �/�, f, �> ,�:�,/ro <br /> ;, <br /> � �. ,�/ < . , .. _ <br /> ---- <br /> . � � . „ ,. <br /> . ,i�:�.. r.. ,,� ;�, �i�� � ., . ; . ,- . ��: <br /> ,���Jt..�k ,) ,. /�-r �t �. ..> J, k�_.. /�t� .,. ,��� � c. <br /> . , . ,,, i/7.� r % �i ). . I� / .J, ro !1'^/4� , <br /> (i <br /> I <br /> . . ,, � . .�� . .. . � . /•-� .. �� r . .J� <br /> I f. <br /> � /� <br /> I �/ /Jl�kt . �!/'M. 'f" cV" /`-�1.... . <br /> I , L� <br /> !% <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY QF THIS APPLICAT!ON TO BE POSTED � i" UP �� <br /> ON JOBSITE. � , I �_ I <br /> CALL FOR INSPECTION 259-881 1 30 t '�`1 <br /> 24 HOURS BEFORE CONSTRUCTION The unCerslBnea owner �erebV agrees to hold and savc harmless <br /> I t�e Ciry ol Everell Irom any antl xll claims lor dem&ges. wsts. <br /> expenses.oi wuses ol action I�al may nnse because ol installation <br /> an� mninlennnce ol �he imProvemrnl or olhcr riqhl-of-way use <br /> hereto aVl�hed lor qntl Imihoi ngrecs to mmove same upon no��ce <br /> Irom Ihc City and lo replacc O���hc pwperly damagcd Ihereby. <br /> DEPARTMENT APPROVALS <br /> SEW[R COMMUNICrl110N5 <br /> �/Y1�Ii CpNvtPll <br /> pHRINAGE iRRFFIC �. `�` ^ / `� F` <br /> /! 1 1 / I <br /> l/!{h�� <br /> wnTER PLANNING SiGNn UR[p[qnp��CANt � <br /> ' �.7a/ We�-mov� <br /> 5,—�E�, 5 n3" A��RE55 <br /> �� � �veYe�-f • 98�06 <br /> '� �: i .� : /ll. � % �� �� J �� S �? crtr zin <br /> APPROVI:U FOR CONSTNUCTION �Al[ a�g . 3y� r/ - �'x . a�r � <br /> 1ELEPHON[NUMO[R ALiERNAIE <br /> S�p� a7, ' 79 <br /> APPROVED AS CONSTRUCTED oAIE unl�— — <br /> REFER[NC6COPY �EE 1978 <br /> � _ , � <br /> L <br />