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_ <br /> �� <br /> I <br /> II ' � I <br /> , 'everetl <br /> APPLICATION FOR RIGHT OF-Wl�Y USE PERMIT <br /> �; � TYPe or prin�cleatly wdh mk <br /> i PRESS HARD- YOU ARE MAKING COPIES <br /> I PUBLIC WORKS <br /> ; eVERETT,WASHINGTON PERMIT NO. � <br /> i <br /> I APPLICANT (UNDERSIGNEO)AND FIRM REPRESENTED, IF ANY: <br /> ';� HEREBY APPUES FOR PERMISSION TO �T� L/Z� ISL��Y I�CG�� C � <br /> ; p,�u�.� �...��, r��� � ►� �2�acz �l�.� <br /> I ATTHEFOLI'�WINGLOCATION �4�� � ��- •r <br /> i � <br /> iDRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> il <br /> I, <br /> I, <br /> I <br /> I <br />( <br /> I <br /> i <br /> I <br /> i I <br /> I �i <br /> i <br /> I I <br />�' � <br /> 1. I <br /> I i <br /> II i <br />� ( <br />�� ! DRIVEWAY SECTION I <br /> � i <br /> � PERMIT IS VALID FOR 60 DAYS � � <br /> I , <br /> � COPY OF THIS APPLICATION TO BE POSTED � i" LIP <br /> ' ON JOBSITE. 30„ � _�_30" � <br /> I CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION 7he un4ersigneU owner hereby agrees lo holtl an0 save harmlese <br /> � the City ol Everetl 1mm any and all cleims lor tlemages, cosis. <br /> Ieapenses.or causes ol,clion Ihat may anse because GI inslallalion <br />'( � � and maintenance ol Ihe improveme�t or piher nghbol�way use i <br /> 1 hereto epVlmO lor anE turther aq�ees Io remove same upw not¢e <br />� � Irom ine Ci1y end lo replace public properiy tlamByeO I�Creby. I <br />/ j DEPARTMENT APPROVALS <br />� sEwEn coMn+uNicn*ioNs � I <br /> DNAINRGE TRAFFlC .r! �/ '� �/ !~ � T <br /> j�yl �� I <br /> � WATER PL/NNMG SiC n E O�A�VLiCANi <br /> i <br /> ISTNEEt np[)�.S � y/� �/ � I <br /> Crt---�j.�s�(�C.-f�� Z�P � __ I <br /> APPROVED FOfl CONSTRUCTION oAiE 2�'O ~ ZS� '�/ � • <br /> 1ELlvNONE NUA'pER /� dIiCRNniI - I I <br /> %%%,G � ` <br /> �VPROV60 AS CONSTRUC7E[l OnTE C�*L � II I <br /> ,� .. ._. . � ,., . .-;.i_,,.� �--.,n�^,T�n ��,—_..--- - - -----._._ _. .._ . _. .__ _ . � <br /> ' � - 197f3 � i <br />