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i <br /> ! <br /> I � ' <br /> 'evereft <br /> , � APPLICATION FOR RIGHT-OF-WAY USE PERNJIT <br /> I Type or print tle&rly with ink �� <br /> I <br /> PRESS HARD - YOU ARE MAiCING COPIES � <br /> I PUBLIC WORKS <br /> i EVERETT.WASHINGTON PERMIT NO. <br /> i APPLICAN7 (UIJDERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO �T� L/Z� ISC�C��V I�G�C�� �C� <br /> i /� L r�JU I���Ya � 1�� ��2 � l�+_l� <br /> I AT THE FOLLOWING LOCATION �'��� /_ � � �' -"��� 'r <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I I <br /> � <br /> i <br /> i <br /> i <br /> I <br /> I <br /> � <br /> I <br /> I <br /> i <br /> I <br /> I • <br /> i <br /> I <br /> � <br /> I DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS � _� <br /> I � <br /> � COPY OF THIS APPLICATION TO BE POSTED � f' LIP � <br /> i ON JOBSITE. ` , i <br /> CALL FOR INSPECTION 259-881 1 �30'� __�30'� <br /> 24 HOURS BEFORE CONSTRUCTION T�e un0ersigned owner �cre6y egrees lo ho10 ane seve harmless <br /> the Ciry ol Everell Irom any and all Ueims Icr Oamages. cosls. <br /> expenses.or wuses ol action ihat may anse because ol mstallahon <br /> anA ma�nlenance ol Ihe improvement or olhe• rig��-oLway usc <br /> � . heieto eO�heA lor anE lurlher agrees tu remove same u0un nol�ce <br /> I �� Irom IM1e Ciiy anA b replate publit property damagetl IhereEy. � <br /> � DEPARTMENT APPROVALS <br /> � <br /> SEWEF CO�d6NNICATtONS <br /> ��.��%f.G` �///-�7 v�� <br /> DRAINRGE TPAFRG <br /> � I <br /> I <br /> � WRIER VLnNNiNG _\ Si<' n a[O�AVvuCnNi -- ' <br /> �,� �i.��» � � �/ <br /> sraeer naoa s. �. <br /> h' -�_—=La�L-'�" — <br /> cin nv � <br /> APPROVED FOR CONSTRUCTION on1E ��Z�/ Z��// � � , <br /> j7 <br /> iCL[YMON[NUh�iER `/ ALiCRNMf � <br /> � .O � <br /> APPROVfi A�N9TFUCTED Da*E o�*F � ' ��� "^- <br /> � c,�; ���. � � �� ��-- •-;�,�.,.� ; _:�i i-.';-i�,;r� ��r --- 1978 � <br /> • <br /> I <br />