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� . I <br /> � � i �' J j <br /> everen ' <br /> I Q APPLICATION FO�R RIGHT-OF-WAY USE PERMiT � ; <br /> I ♦' ' Tyde or prinl cleany with mk i , <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> � PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. �� �5 � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANV:�/Fr S � / J J�Ct _ <br /> i <br /> HEREBY APPLIES FOR PERM�SSION TO__ <br /> AT THE FOLLOWING LOCATION� C�S �— /f'� �IO� �y/S �/C. f C7-� 7�!C�� <br /> DRAWING (WOHK TO BE DONE) OR THREE PLANS ATTACHED:/�tS '� —� � A;�(J f L'SS wA.S <br /> aa i � � �odW�y � <br /> � o j�c2 � �-�� �Z. p� �a►JS AS P2o� � �c1� . ; <br /> i <br /> Z , ��., ,��1 avNc-F�' �N A ��Z RA-MP o� Z �. S� I <br /> 3 , 2� LpCt1-"(� OpJ DP L1iC— �TI4-tU�(� (ZD . C''E� i <br /> 1 '�� � PIG 71 �2C--C. � <br /> _ / <br /> � <br /> L <br /> ` <br /> k <br /> 7 �4�'=ry,,h � <br /> �� 4r:::.i.;-� .. <br /> f„ <br /> � i:. <br /> w :' <br /> r <br /> I. t -,.�.f�;�,.� � � .. i <br /> I <br /> I <br /> DRIVEWAY SECTION I <br /> PERMIT IS VALID FOR 60 DAYS � � � <br /> � <br /> COPY OF THIS APPLICATION TO BE POSTED i" �ip <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-681 1 � 30",li �30'� <br /> 24 HOURS BEFORE CONSTRUCTION ' <br /> Tha undersigned owner hereby agrees lo hold antl save harmless I <br /> Ihe C�ry ol Everett lrom any nnd ell claims lor damages. costs. ' <br /> expenses.or causes ol aclion Ihat mny orrse becnuse ol installnllon � <br /> 2na mainlenance ol Ihe improvement or olher ngh4ot-way use <br /> t1er��to ap0lied lor an0 luriher agrees�o remove same upon not¢e <br /> �EPARTMENT APPf�OVALS trom me Cny ane m �eviace pu�bc properfy aamagetl IOereby. <br /> 1,� <br /> SEWER COMMUNICRTIONS <br /> I <br /> DFRINFGE iRPFFIC �Yl/ �.��/VW�YV I <br /> WATEP PLANNING SiGNaTUNE OFn�'�iiCANT . <br /> i �tj V <br /> i <br /> 5TRE - � AUDRE55 � <br /> i <br /> , � % , � ��erery`� (.v�l.S h 9s �o,� <br /> 3 ���/ C� IIP <br /> PROV ' FORCONSTR C ON i ,' q iF + , �{�.— .G/S J� 3C �—���� <br /> �_� ..—� ~/�� � 7 ✓ L T �EPHON UMpEP vALiEflNAIE <br /> l!�tl� ✓�%���__�:� / �l/ �_�( u � _ <br /> APPROVED AS CONST U TED Dn7E onr �� <br /> CONSTRUCTION/AS BUILT pEE ! <br /> 1978 <br /> y L• ', �8 ::�w 5r..� 1 � �. �r,..%,'.�n_,_ . <br /> r. . �4 nf�. � .__ , . . <br />� <br />