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. � _ <br /> II everen <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> I Type or pnnt cleady with mk <br /> PRESS HARD - YOU ARE MP.KING COPIES <br /> I � PUBLIC WORKS / 7 <br /> EEVEFE(T,WASHINGTON PERMIT NO. � <br /> T / / / <br /> r �� APPLICANT (UNGcRSIGNED) AND FIRM REPRESENTED, IF ANY�ry�'�t� L • �NG l V � �/✓Tc/1/�il/SL` S <br />� HEREBV APPLIES FOR PERMISSION TO�w.�c'y�7i/CT 'g `+`� �/ �E�t�t— .3C%� /COI[.� <br />� � ` <br /> P <br /> L'��JO55 ��oi✓i��GE' �-.Gd� f7�Jv Ni�l.�N-y fti2 /Q//�/�� �FrTy <br /> I c�1/%G�A-1Y <br />� AT THE FOLLOWING LOCATION ��U.�j - ��G� �Ild� !�W/�Gl <br /> DRAWING (WORY. TO BE DONE) OR THREE PLANS ATTACHED: <br /> i � <br /> � <br />� � <br /> I �K � <br /> Ll2 ii <br /> � ' <br /> � i �/ <br />� . a � <br /> ��K � <br />� ��k � <br /> i <br />' �j,raG,� '�i 7� G� E�v�i�.�r Sii� �•v` � . <br />�` <br /> f <br /> I <br /> i <br /> 1 , <br /> OR�VEWAY SECTION I <br /> PERMIT IS VALID FOR 60 DAVS � � I <br /> � COPY OF THIS APPLICATION TO BE POSTED � <br /> � ON JOBSITE. � 1 i" LIP � <br /> CALL FOR IN8PECTION 259-861 1 r=30 t ��30'� <br />� 24 HOURS BEFORE CONSTRUCTION Tha untlersigned owner hereby egrees to ho10 en0 save harmleas <br /> tne City ol Everett Irom eny en0 all claime lor tlamages, costs. �, <br /> expenses.or causes ol etlion t�9t may anse Decause ol inst9llabon � <br /> end mamtenxnce ol the improvement or olher ngh4of-way use I <br /> ' bereto epplietl lor antl lutlner a9rees Io remove seme upon nobce <br /> Irom ihe Ctly antl �o replace OubhC property Oemeged Ihereby, <br /> DEPARTMENT APPROVALS I <br /> ISEWER MUNiCATiCNS i <br /> I ORAIN�GE iRAffIC . � � <br /> WATER FL/NNING N TUR[O APP�LI�CAN�) <br /> 7 2���"X�G�_Ff�r�iC2 <br /> s�Aeer aooaess <br /> I �2?jl /—/6 -�� ��Ei��7T' �7�r��/ <br /> CiTr ¢iv <br /> APP VE�FpR C NS ION oarE �5 O �5�. b <br /> (� �/� TElEFH�O 'E NUMBER ALTERNRiE <br /> �f,/' � � Z ( S6�'� 8� ��/��/y�� � <br /> APP /AS CONSTR 'TED DnTE DniE i <br /> � CONSTRUCTION/AS CiUILT �ee <br /> 1978 <br />