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i _ � " � <br /> il ' • � I <br />'' <br /> 4 ���I evlrltl � <br />; i � APPLICATION FOR RIGHT-OF-WAY USE PERMIT I <br /> Type or pnnt clearly wdh mk I <br /> � PRESS HARD - YOU ARE MAKING COPIES I <br />� I PUBLIC WORKS � <br />� I EVERETT.WASHINGTON PERMIT NO.� I <br />` y � � I <br />� APPLICANT (UNDEFSIGNED)AND PIRM REPRESENTED. IF ANY:�� D'", ������� ���' I <br /> /�����,�� � /�/ , /I� �l� � � <br />� HEREBY APPLIES FOR PERMISSION TO—S«�",.�i6C16� � A S !�� I <br /> t • �D � � I <br /> AT THE FOLLOWING LOCATION O IV D `�t�S'iLC C�C� !/IJ(�- <br /> DRAYIING (WONK TO BE DONE) OR 7MREE PLANS ATTACNED: <br /> i <br />' � <br />[ <br /> l I <br />� <br /> t � <br />; I ' I <br /> 1 . <br /> � <br />� � <br /> i � <br />� <br /> I <br /> 1 <br /> i <br />' i DRIVEWAY SECTION <br />! PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE;POSTED i�� �ip <br /> ON JOBSITE. <br /> CALL FOH INSPECTION 2a9-661 1 r3o';{ �30'; <br /> 24 HOUHS BEFORE CONSTRUCTION Tha undernigneE owner hereby egrees t0 holtl anE Save herniess <br /> Ihe C11y ol EvereB Irom any .n0 all cleims lor Aamages, rosts, <br /> e�penses.or causes ol action�hat may erise because o��nstallalion <br /> ana mainlena�ce ol Ihe �mprovemenl or olher righl-ol-wqy use <br /> herelo a00��e0 lor and lurther agrees ta remove same upon nolme <br /> Irom ihe G1y antl b replace pubhc pro0erly Oamagetl IhMeby. <br /> DEPARTMENT APPROVALS <br /> i <br /> SEWEN COMMUNICATIONS <br /> ONAINAGE TRALfiL �v��lJ-J�� / _ � � <br /> �,l,i 7�'.�.. ,/�asr� i n a w <br /> �..���.� <br /> WpTER PLANNING SIGNAfURE Of APPL�CANi �:� <br /> v�5'// �Q�dBk. <br /> s,�,�E, A��� �� � �i1. 8.�e <br /> j �J J�D CITY �� ZIP 'M <br /> PROVEDF RC VST CTION o E ����Q� �J��S /O7 <br /> IEIC�MON[NUMOER AITGRNRIE <br /> � c� .8—/7 -80 _ <br /> APP 5 CO S Dni D iE <br /> CONSTRUCTICN/ASBUII_T ree 1978 <br />