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i - <br /> ! everen <br /> '; Q APPLICATION FOR RIGHT-QF-WAY USE PERMIT <br /> vType or print clearly wHh ink <br /> , PRESS HARD -YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> � EVERETT,WASHINGTON PERMIT NO.� � 2� C— <br /> I APPL.ICANT(UNDERSI6NED)AND FIpM REPRESENTED, IF ANY: ��//C9 S-L Z� PlfO Tp Fyvrc� <br /> i <br /> � HEREBY APPLIES FOR PEP4ISSION TG � T`7C E .f.!'1STJh/6 .�7R1vE w�y / �T� <br /> I; �9 Pl��'o u�o �uR13rN6 <br /> i <br /> AT THE FOLLOWING LOCATION_�� 3I ./3RoA�'Jw�Y <br /> DRAWING (WORK TO BE OQNE) OR THRE� PLANS ATTACHED: <br /> � <br /> I <br /> i ��15 <br /> i ; G �RRGG f �og� r�'��� <br /> � S <br /> I SSpE u�^LK EXIS�7N6 .f1kT✓f!✓AY^ � 6TDE SrL�C <br /> q---7y � �,^ 3 i <br /> I � H <br /> I G N �I <br /> cu � <br /> cn�psad <br /> � /�RoA� WsY <br /> �. <br /> � � . � \ �1� bG • �, <br /> � . � SG�w - cw� e�x�s��� 5�w @ 1S� s�o�e r�� Q E ,� <br /> � V l�rokP.../�.�n,rPccY �b.C.. <br /> � �6 1 �`'� 't+�.ti� Q'Qfw� ��Ov�! Nfv�� -l1.lrJ7 � '�/w N�uv�Ol� �IGI� ��• � <br /> � �� / � <br /> ,,,. s�o�e �0.�kS -� ��c;.� GJ�\5���. a.reLT � <br /> � ..J• PI�O�C\ 1` \A �1 G�C K /��'tD v1[°w Co.1 G_ . �4v� cL1�� � c�'I I <br /> � 'V <br /> 1 � �-- 0�\S� 1✓'� �..fP C� I M� . <br /> � 'T� Jii--t ei f Pv�Jv� O} C�xiS�1'tu -QJi' �� rov�.w..j�\ n �i-' SKb �ra�� ` 1 <br /> �(�' '�r �F7fvEW�SEC IT 0� �� ~ �"� <br /> Wo��` <br /> iPEFiMIT IS VALID FdR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POST,r,J � i�� LIP � <br /> I ON JOBSITE. <br /> CALL FOR INSPECTION 259-861 1 �. 30'�} �30"� <br /> 24 HOURS BEFORE CONSTRUCTION The un0erc�dne0 owner �ereby a8rees to holC and save hermless <br /> the City o! Everett irom eny anA ell claima for Oameges. costs. <br /> evpenses,or causes ol action ihat may eriae because r/installabon <br /> en0 meinte�ence ol Ihe improvemeni or oi�er ng�4oLway use <br /> hereto apPlieO lor anE luriher eg/ee5 to remove 58me upo�nol¢e <br /> Imm the City anG to replace vublm property EamageU InereDy. <br /> DEPARTMENT APPROVALS <br /> e <br /> SEWEH COMMUNIGATIONS <br /> ORAINAGE iqAFFIC � <br /> ���.�;� �.-,.-� � � ��P <br /> WpTER PLANNING SiGNRTURE Oi RPPLiCAN � I <br /> I STPEET AO�Ea 3 � �/�Q�Lw�/Y I �I <br /> --- � ��6,�FTr tvi✓, 9S�o I � � <br /> CITY t�y I <br /> � <br /> En FOR CONSTfl ON onrE ��fi .� �,y(7 � �' � <br /> u / I <br /> TELEPNONL NUAIBEF q�TERNATE � <br /> . ` ) 7��`�/ i <br /> --�,,, � /' l <br /> ��, APVROVED AS NSTqUC1F.D� Drt pnir i —- -- , <br /> L u <br />