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� everett ' " ' � - � <br /> Q APF'LICATION FaR RIGH1�-OF-WAY USE PERMIT ' <br /> ; `' Type Or prin�clearly wtlh mh I <br /> PRESS HARD- YOU ARE MAKING COPIES � <br /> i PUBLIC WORKS �N S 7+�ew <br /> •va� <br /> ,j EVERETT,WASHINGTON PERMIT NO.�.,��_ <br /> �� i-r �--�-�—.� �. ,�O <br /> ! APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED, IF ANV: {=it'� ry �'���� ��`�� ��`V i' � <br /> I /.Cl�! / ' ' . .. <br /> i HEHEBYAPPUESFORPERMISSIONTO - �TrVLJ r 2�) � ��',� !. ':YJ/�r'� �1.,IVSuJ/?��._ � <br /> i <br /> I <br /> � <br /> AT THE FOLLOWING LOCATION_ "-� � i '' V�J/� '' J��/�r�E TJ" <br /> <= ��'� - �l.-c -/i:-.�/� C-",.�,�r;��..C.J�, ��20/ <br /> I DRAWING (WGRK TO BE DONE) OR THREE PLANS /1YfACHED: <br /> I <br /> i <br /> i <br /> I <br /> � <br /> � <br /> I n <br /> /, heeJC a ��B�y a�rov 2 .,.,p� w�d�c��.�aJe oc.t-� � <br /> � drwci,�.a.� a,t,p.a„ 2 a� �+ s� <br /> e�, npe� •C �(r o., d/ S�_ ya..e exi�-s <br /> j 3. ..,,IRn,„� c#G o„ a�_ • , <br /> st�'Ma �tC essi�� rC lR�i� �w mn <br /> I / ar �� d �' /7 /° <br /> � 5 roD.� d:�.�.�.e <br /> I1 Y• �P�� �ie7rwa� t WnP+v� sFnwti o.. ��w.� S I <br /> Z-L-�I ,5^ SDu.�� •A ZI ST, M0.Y NEg� To 6E <br /> � �E pIACED I <br /> I ✓ I LIt4 f� <br /> � �� <br /> I � <br /> � I <br /> c % � �q �� h z ,� S �,;2. ,� w�y � s �osS , .�� � <br /> �CiA.cf I� ��w� 0.2. 2/�'T 3'T , <br /> � o u ,�vac/j,c�/ <br /> IORIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> I COPY OF THIS APPLICATION TO BE POSTED r� ` i�� �ip --� I <br /> � ON JOBSITE. � <br /> CALL FOR INSPECTiON 259-881 1 30" I 3�" <br /> -�i• <br /> 24 HOURS �EFORE CONSTRUCTION <br /> T�e unUersigned owner �ereby agrees to holtl and save narmiess <br /> ihe Ciiy ol Everetl imm any antl all Uaims lor tlamages, costs, <br /> e.penses.or�auses of ection�hat may arise because ol mslallabon <br /> -aM memtenance ol Ihe impmvemenl or ot�cr nqhl-of-way we <br /> hereto ap01ie4 lor an0 lurther agrees lo remove same upon nolice <br /> Irom Ine Qty ana to reD�ace puDbc property aamay+a tnereby. <br /> DEPAP.TMENT APPROVALS <br /> �/✓l ��� �'/`I/�✓ <br /> SEWER COMMUNiCP tONS <br /> ' I <br /> , ,. . K� ` � ... . .��- <br /> / <br /> ORRINAGE iqqffiC � _ �� �,� O <br /> •�`` / 1• . � 1.6 <br /> j �_ �.. <br /> WATEH PLpNNING SIGNRTUFE OF PUCRNT �• / /A) <br /> .:.%� / JJ J .%•��"•Y CN-:. li.n� J I Vv . lY <br /> STREET ADO$5 � � <br /> ,J f=/? 7 i L� (,_�/� . �� ��.'�7 � <br /> CIiY ZIP <br /> APPROVED FOR CONSTRUCTION DATE ` �� _1 /�n I <br /> / <br /> fEIEPHONE NUMBER qLIERNniE <br /> // - ' .. �;o <br /> APPFOVED AS CONSTRUCTED DATE oAIE • — I <br /> � <br /> INITIAL INSPECTION REGUESTED ree � <br /> 1978 <br />