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• G <br /> 1 <br /> _ I <br /> I <br />� e�erctt <br /> I ' APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> I � Type or Print clearly wlth ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS '�9 3`�.$ <br /> � EVERETT,WASHIMGTON � PERMIT NO. <br /> �I APPLICANT (UNDERSIGNED)AND P�RM REPRESENTED, IF ANY: SG�VC VI I„ ' U6L ACtUeV��I I 5 C �YIVYCN . <br /> HEREBV APPLIES FOR PERMISSION TO 1 vV` nYea 17tl� Ic O Y b��, � d 1�n y QY �r <br /> � <br /> AT THE FOLLOWING LOCATION ��Y O� �G I 3 �Y�CI W C� V ' <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ��ib�)."� (� /!i. �� � /' l-�t�^ Liip f� :' �oc7 Q�C� 33 <br /> � � / ) <br /> S/n,- �,� ` ��/9�So <br /> � n J <br /> i <�GNa� J- , i.y . <br /> �—_ c� <br /> /Uu,i �c ic.l, /c,s, >i i��Ji � �r�� .s r��u,�c <br /> �>�/JG.•/l J� <br /> /ut � �Li.� S: lc. r�-o. ;,o� � <br /> !',-..»., s/,�c r- /, /�.�,.,>S ,�, �o C�G./ . <br /> U � � <br /> /•L •�(.,,/� .7/4�T �C.. <br /> , 1-1/i�,� PaJU«, ; �o � b � <br /> iJ(�L�-N, ' <br /> / <br /> / <br /> � <br /> II <br /> I I <br /> I • <br /> I DRIVEWAY SECTION <br /> � PERMIT IS VALID FOR 60 DAVS � ----..� <br /> COPY OF THIS APPLICATION TO BE POSTED i" �IP � <br /> ON JOBSITE. �30�� _ I 30" <br /> CALL FOR INSPECTION 259-861 1 -�t� <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner he�eby a9rees lo holC BnA Save Odtmless <br /> Ihc Cdy ot Everett Irom any and ell clnims for Oamages. costx, <br /> e.penses.or causes o�aclion Ihat may erise�ecause ol ms1911ation <br /> and mamtenence ol Ihe improvement or other nghl-obway use <br /> bereio apphetl br Ti tl Imthe� aqrees to remove same upo��ohcc <br /> Irom Ilte City and to reDlace pubLc property tlamage� tnereby. <br /> DEPARTMENT APPROVALS I <br /> SEWER COMMUNICAT�Qy$�-!� �'If �N„e11� <br /> (^ '}� J j��r�� ! <br /> � =RRFFIC � <br /> I �RnWAGE 1 <br /> i WpTEp PLANNiNG SIGNA IiRE Oi APPLiCANT <br /> �7�./ We�-mov� — <br /> ST�EET /DORE55 <br /> �J ` S 93 2 �'v eY e+� . 9 8�0 6 <br /> APPROV� R,CONSIRUCTION ���r pqT� CiiY Z�P <br /> =-� a�8 � 3H �1 - �X � au i <br /> IELE�'MnN[NUMBE� ALTEHN/TE <br /> � /� / <br /> ���-� � �._ � --)�=�a�,� 8� Se �` a7 79 _ <br /> �il`PnJI'l l".= �`rl:.-�r;UGi6D I'�vt �••,•� I <br />