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—�r —. — <br />�� <br />� I� I evrreh I <br /> • '� APPUCATION FOR RIGHT-OF-WAY USE PERMIT <br /> Typt or print clearly aith ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS •/ � <br /> EVERE7T,WASHINGTON n PERMIT NO. d a 97 <br />( 1 �, �' <�.,_ _� II <br /> APPLICANT(UNDERSIGNED)AND F!RM REPRESENTED, IF ANV:_�0`N CI Y /WfSe v7 �S I � I <br /> HERE9Y APPLIES FOR PERMISSION TO �� �1 A Crlr �w C� _(3�►��1� �+-I ��� VG T7YS I�I <br /> I AT TNE FOLLOWING LOCATION (O� �S� a'cQ'QL?CCiA� EvE�ETT CtJ.4• /81D.� �I <br /> i <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: � <br /> F <br />' <br /> I � <br />� - <br />` NO�_ ; <br /> i �-JiJ:� N/)Q�i�Gri.'ilL GN�:S Un/ T�iS i�h�r' ': � '/ i, <br /> i /JR! ���l�U/r1_ i=NVii1D�/)JC;N%/1L �c✓�r'�r✓ <br /> I ,�C (�CAii�C<%7G S7.P.i,�i /�7//�i?dJ..:i4.,U i %L' I <br /> j � 5'. i3.1Cib>r✓ily d� /h'r�il�1U /;IJ�, li <br />` �Or�"� v�= A.T0.1Nr y ,P,�y�ui.z.£iJ. I <br /> r I <br />( No fa/��)iiiJN�IL Svrw.'.z' S�rig /irt r%� <br />� /li(d/rd�9 U.�/)i�i2 ii�%iS /�/riYA�ii— � <br />� <br />, �i/i y <br /> � � <br /> I � <br />' � <br /> I <br /> I I <br />� I <br /> I I <br /> I <br />� i <br /> i <br /> DRIVEWAY SECTION i <br />' PERMI'I' IS VAL,ID FOR 60 DAYS � � <br />� I COPY OF TFiIS APPUCATION TO BE POSTED I" LIP <br /> ON JOBSITE. <br /> i CALL FOR INSPECTION 259-881 1 �r3o" } 7 30" � I <br /> 24 HOURS BEFORE CONSTRUCTION ' <br /> i I The unEersigne0 ownor here6y agrees lo hola antl sove harmless <br /> ',i' Ihe C�ty ol Everetl Imm any entl ail claims for damuges, costs, <br /> j.,i eKFenses.or causes ol aclion Ihat may anse beceus.ol inslalleiion <br /> �� antl mainlendnCe O� ihe �mprovemenl Or O1hCl hghi-ol�wey u5C <br />, hcrc�o apphetl br antl IurNer agrbes to remove same upon nobce <br /> bom Ihe Ctly anE lo replate publ¢ properly Gamagetl Iherpby, <br /> DEPAaTMENT APPROVALS <br />�� <br /> 1 <br />. SEWER COMMUNiCrITIONS � <br />� ORAINr1GE iRAFFIC <br /> `�_ <br /> WAT[R PLFNNING SIGN�tUREOF PPLICANT <br /> �i �'Tti /� <br /> sTREEt nooncss <br />� r�, �u< ,-er; 9��03 <br />' �<_c7`i ' /—J�,.�`— '=i//5/.PD o�.. :�P <br />' APPROVED FO WNSTRUCTION /�. � 0 '�E 3S 3 '3 ��� I <br /> 7 � /j� IELEPHON[NUMB[R RIiERNNiE � <br /> - ; 3� A�� > ,��d-o <br />� � ED AS CONST� 'DAt[ Dnl� _ <br />� . '_""_"._.._..�..._�_��.i_.::...__ ._« . --__ _ _ <br />