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� � 3ss 5' i <br /> , everetl ' � ' ' ' �� <br /> Q APPLfCAT10N FOR FiIGHT-OF-WAY USE PERMiT � <br /> VType or pnM clearly wlth ink <br /> � PRESS HARD - YOU ARE MAKING COPIES <br /> � PUBLIC WORKS j <br /> � EVERETT,WASHINGTON PERMIT NO.��f__ <br /> � � /�,�-/ '�,n- / <br /> i APPUCANT(UNDERSIGNED)AND FIf�M REPFESENTED, IP ANY:�/ 'v v'� ��OS C�O/� <br /> I 7' � � <br /> I HEREBY APPLIES FOR PERMISSION TO��sTRu�T � �2) ' 3� GQ�/G/(C�� �I VS�/9"�Q � <br /> IAT THE FOLLOWING LOCATIOW � � SY KO A DCa� 6�"�� , <br /> � 2/v2 - .� iaad�y, �i.ei-e�f �{z� 9A2a/ <br /> � DRAWING (WORK TO BE DONE) OR THREE PLANS AT'�ACHED: <br /> li �� k��ZoJ�DE /�l.�G�( IT�14iZOJEW/G-NTj W/C.(3. 3� So�T� oF .2.� Sl'R[Gi S�D6 � <br /> i <br /> I wA�K (>E�Z DEJC- w(�E2S �u� D� <br /> I Z„ P+�oJ�De c� RB/6��� AD�qcEUi'rc Z-1 S�b � <br /> I <br /> I3� CONG2CTE R�MovnL c.u��L 6G T� 1� TNR�uG►� ,��� � ��Z I <br /> S�w ��r,-, <br /> � �� I� ArJ05GAP� iJ� j�CiZ THC- APPR01JC1� t. ATJDS�AP�NC� PLAI�. <br /> I I <br /> I <br /> � � � <br /> • ` I <br /> I I <br /> � <br /> II ,� <br /> � I <br /> I <br /> I <br /> � I <br /> ORIVEWAY SECTION <br /> PEFiMIT IS VALID FOR 60 DAVS � � I <br /> COPY OF THIS APPLICATION TO BE POSTED ��� ��P � <br /> ON JUBSITE. I I I <br /> CALL FOR INSPECTION 2S9-E361 1 �3o'�L ���3oY� <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The un0ersignetl owner hereDy agrees lo holE anC save harmless <br /> t�e Ciry ol EverMt Irom eny and ell claims lor Oameges, cosis. ', <br /> eapenses.o�causes ol nction thnt may anse because ol installabon <br /> antl memlenance ol the improvemem oi otner righ�-ol-way use <br /> hereio appbed lor Bntl lurt�er egrees lo remove 58me upon noLce I <br /> DEPAFiTMENT APPR�VAL$ Irom tne C�ty ano m reoiace puenc prope.ty aamageo mereby. I <br /> �i✓� S�� �N i�/ <br /> SEWER COMMVNICAilONS <br /> � <br /> DR�iNAGE TPAFfIC / i I <br /> WATER PLqNNING Ri RE OF P�pqNT � / I <br /> /��oo �o l�E�/cJGb�E. N , � <br /> STREET ' ApOA S <br /> � ..�`EAm� , c.�.�� . 9�/a,� i <br /> � , � -5-� ��.. z�� , <br /> A RO F C TflUCTION DATE �6�— � ��0 '. <br /> ` TEIEPHON6 NUMBER AUEPN/tE <br /> l �� // - S _ 8� i <br /> I AP VED AS CONSTflUCTED 0 iE DATE �I <br /> I li <br /> r:ONS UCTION/AS BUILT ,EE <br /> 1978 <br />