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't <br /> s �-��/ � <br /> - . . ��0 <br /> I evrretl � <br /> i � APPLICATION FOR RIGHT-OF-WAY USE PERMIT � <br /> type or print clei.dy wAh ink I <br /> PFESS HARD- YOU ARE MAKING COPIES '� <br /> I PUBLIC WORKS I <br /> PEFlMITWU.��1 — I <br /> EVERETT,WASHINGTON �S. <br /> t-�c�is ��kv � �ss���c�S • — <br /> APPLICANI' (UNDERSIGNF.D) AND FIRM REPRESI:NTED, IF ANY: 1 I <br /> ii �= rn Go,VG25T �A�r�Jl� �Lk�DeAil. c�.� � <br /> HEFEBY APPLIES FOF PERMISSION TO I <br /> I �l�.+1I.���OS I� <br /> �Jc2�IwC-�1 '�C-�-cv cR�-�-', �n, o ' <br /> Ai THE FOLLOWING LOCATION <br /> � 30 l S�Oannva.� G � �eE�i'r, !�L/�. _`� '� ( I <br /> � <br /> DRAWlNG (WORK TO BE DONE) OR THREE PLANS ATTACHED: � <br /> ii <br /> I I <br /> ��� p�k� aT�-A��n � <br /> I <br /> �I <br />� � <br />� <br />, i <br /> I � � <br /> f I <br />� <br /> I DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 4AYS 1�---- ---- � , <br /> I <br /> I COPY OF THIS APPLICATION TQ F�E POSTED I" �iP � <br />' ON JOBSITE. 30" -.,�.3e" <br />� CALL. FOR IN'SPE�TION 2'S9-8B 1 1 I� <br /> 24 HOURS BEFORE CONSTRUCTION 7he undersignea owner hereby egrees to hold end seve harmless � <br /> Ihe Ctly oi Everett Irom any entl all clalms br aemages. cosis. I <br /> i� e�penses,or causes ol action thai may arlse becauso ol in5ta11eLon I <br /> an0 mainlenance ol Ihe imprcvemenl or other nght-of-wey use <br /> hereto applied for antl furtM1er agmes to remove same upo�not¢e <br /> i Irom t�e C�ty en0 to replace pubhc property dimagea Inereby. <br /> DEPARTMENT APPROVALS <br /> I <br />�I sewen cowmuN�cnTions (/p ��D��S i'�UI F`.SSGLI/��tS L S. I <br /> � (\y'1 �(\/��� <br />� 011RINAGE TPAGfIL A �aA��AQN'IJ� I <br /> �1 \��. �l <br /> N,A�ER PLRNNiNG `. tiNRLUAE Of APPUC.�Tit <br /> �oa �as� I�lK� S�KC–�f — � <br /> DDRC55 <br /> StREF.T � <br /> s�A�LG� UJ/� �C')� L�i I <br /> c�r. Q � zia <br /> L):T— �,����E�Q— � V Ci � v / �l/ <br /> pVPROVED F CbNSTRUCTION ALTERNniE <br /> ^ / . / n% 1EL[PNONE NUMOER <br /> Y Ll �v d�1 198a <br /> %� z � , --- <br /> DATE DAiE <br /> pP VED AS CONSTPUCTE , <br /> i3ONSTRUCTION/AS BUILT FEE— 1978 <br />