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i — � <br /> ; � <br /> ��. � ... <br /> � �'� S ' <br /> everen � � �, <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT ! <br /> I ' Ty(SB or print Cleerly wi�h mk i <br /> PRESS HARD-YOU ARE MAKING COPIES <br /> PUBLIC WOFKS <br /> EVERETT,WASHINGTON � PERMIT NO. �I� �oS <br /> I APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED, IF ANV:�/�T S �/ z7Gt . _ <br /> I HEREBY APPLIES FOR PERMISSION TO _ _ ,_ <br /> � <br /> AT THE FOLLOWING LOCATIONF��_S � /���O[ /C y/S ��Gr (- U-� �L'P� C � I� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHEU:`CtS � —� O �J�J�J f C'S� �-✓AS <br /> a3 i � � �odway <br /> � � �•�� �' Z p� �aeJs A S Priocl � �c1� . � <br /> � i o i�� 2 � <br /> , � <br /> 2- i �, .�c� u�r�c-FL' �rI A �iL R �Mp ot�1 2 �I- SI, : <br /> 3 , I�e� �o c �t--7� oeJ a P- � 1 i e— �T�a �u A�4 IZp P c� ; <br /> � i��A � Fi� 7irZc-c�o I <br /> � I <br /> . , <br /> � <br /> / <br />�' I L� ,d ,. <br /> � ' I <br /> s 1 � <br /> ;�'�, <br /> i, .,,, <br />� I <br />'�: `, <br /> �� <br /> I ,% "x;,,�^t'� ��: <br /> i � <br /> I <br />' DRIVEWAY SECTION <br />,i I <br />'y PERMIT IS VALID FOR 60 DAYS � � <br /> 1 COPY OF THIS APPLICATION TO BE POSTED � fi" LIP —� � <br />� ON JOBSITE. <br /> � <br />� CALL FOR INSPECTION 259-98t 1 � 30';T � 30" � <br /> 24 HOURS QEFORE CONSTRUCTION The undersigned owner hereby egrces to hold en0 save�armless I <br /> Ihe City ol Everetl Irom any entl ell claims for tlamages, costs. <br />� eKpenses.or causes ol aclion t�at mey ense beceuse of ilstallabon � <br /> antl maintenance ol the improvement or other ngh4pl-way use i <br /> �nereto apVlieO tor an0 lunher aqrees to remave same upon nobce <br /> �mm the Cily and to repiece pubim propeny Damage0 ��ereby. � <br />, DEPARTMENT APPROVALS r- i <br />, i <br /> SEWEN COMMUNiLAT10N5 <br /> OR/.INI.GE TPRiFlL — ��/i�✓[iLf/M/ �II <br /> � <br /> WATER PLRNNING SiGNRTUf1E OF Acv�iC�NT ��.. <br />� - 6szs� ��,�«,�e��,� w6 ' <br /> �STRi � / �oonE55 � <br /> ,�- / � / C, ' (. `.}")._ f �G-� <br /> 1� � . _ I�,� � /� , , , , �.�r_t� , v-- <br />