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- - i <br /> i <br /> I' � 3s3 a� � <br /> � everetl � . . • , �.- '� . <br /> ; APPLICATION FOR RIGHT-OF-WAY U�E PERMIT I <br /> j � Type or plint cleatly wlth ink �� <br /> ; PHESS HARD-YOU ARE MAK;NG COPIES <br /> � PUBLIC WORKS ^ <br /> � EVERETT,WASHINGTON J � PEAMIT NO. xo�USl <br /> j APPUCANT(UNDERSIGNED)AND�FIFSM REPRESENTED, IF ANY: �_/� � " � ��p'S "'"'/Y � <br /> � HERFBY APPLIES FOR PERMISSION TOJ ��STRUGT 1 '�' / � �`7 / ��'�G^�� I�T��VE�/4""� i <br /> . a <br /> i - I <br /> IAT THE fOLLOWING LOCATION � � ST `� �R�A D��� �✓E�CTI~ � <br /> i ,2/U2 - /�io4o�i�y� li�r�f li� 9BZa/ I <br /> � DRAWING (WOHK TO BE DONE) OR TH9EE P�ANS AYrACHED: � � <br /> I• 4��ZOJLDL- /�LLL' `� IT�IQR�JGIMGNTj W/C. 13. 3� SDUT� oF �.� S�0.Gt1 S1DE <br /> u)A��C (�GR DEJEc-o('ER:� fu� D�. <br /> �� �L. PtZoJIDC CuRB/UcJ1EIZ AD�qccl�i Zn �-I .�e <br /> � 3 � CO�IG2CTE 1ZcMovF.� w��� a�, -ro A -«\(Lo�Gti� JoiN� �`Z <br /> ' SAu� L�, <br /> I � naosc ra r� �� ��ti� -rHr- ��c�Przo�r-n 4-Af�oS��1 P�NC� t��A►J. <br /> i �I. <br /> � � <br /> � � <br /> � j <br /> i � <br /> '• i I <br /> � <br /> �I . I <br /> I <br /> i � <br /> I � <br /> � i <br /> I � <br /> I DRIVEWAY SECTION I <br /> I PERMIT IS VAtID FOR 60 DAYS � __� 'I <br /> I COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. I <br /> CALL FOR INSPECTION 259-681 1 30 • � J_3o" I <br /> � 24 HOURS BEFORE CONSTRUCTION The untlersigned owner hereby agrees to�oIE antl seve�armless � <br /> IIhe City ol Everetl Irom any enE all cleims tor dema9es. costs, I <br /> ex0enses.or causes ot ection t�et may arise beceuse ol installation <br /> Ian0 mOmlPnOnt¢ OI Ihe imprOv¢T¢nt 0� oihpr ngh�-ol-way u5E i <br /> I here�o apPlieo�or enA lutlher agree9lo remove same upon nob[e � <br /> i Irom Ihe Ciry a�C to replace pubhc properiy OemageE �here�y. <br /> i DEPARTMENT APPROVALS --� � �N/ / <br /> �/v�✓4 �Q � <br /> SEWER COMMUNICNTi0N5 � I <br /> IDN�INAGE TNRifiC � <br /> I � <br /> WATEN PL�NNiNG ATURE OP P�CANT . .— /�� )�f�. A/ I <br /> I 5?FEET � aI��OO ��cGI�/WWD �U6. I♦ � I <br /> I , � ,�EA'►TC.c , [.JA . 9�/d� ' <br /> � � � � ./n�-- � -S-�/ I <br /> crtr Ziv <br /> I 'p RO P C TFUCTION ORTE .�6�- � yy� <br /> /�/(/�J � / 1ELEN�OY[411N(l[n �) FLIERNAiE - <br /> /-� � �1 ' �O '. -.. I A�C �. � � �� - S� � O� I <br />