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, <br /> Ieve.en ' ' <br /> I � APPLICATIUN FOR NIGHT-OF-WAY USE PERMIT <br /> I Type or prinl cle0dy with mk <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBUC WORKS PERMIT NO. �� � � <br /> EVERETT.WASHINGTON � � <br /> �.. � �t + � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED. IF ANY:�I d ij's ��.tu.�i[1��L1�..` <br /> HEREBY APPLIES FOR PERMISSION TO [ �«d l�,��w C �/b � ' �Mf'��1� �l� � � y, <br /> ° � � � ,/ � il t <br /> y �, Jiia � . nwt � <br /> /� � 4�/�,� <br /> ATTHEFOLIOWINGLOC TION_�S/OeZ :D/il 1Cl1LL� <br /> DRAWING (WORK TO 8E DONE) OR THREE PLANS ATTACHED: <br /> P1e. cts � v��i'1 t Ql e.��-�t- .o',-. cl.� tie. e�n � � <br /> 5�0 w .�. � ..,. D Ka...� w — <br /> � wo....�� � �1�2 � `��n..0 w <br /> �o ,..__, �, �--� �,1�.�.. -� I�a.��l � `,�- <br /> P� L o � � � �� ��\ �P ro.��� o .-. `3-i;�'�� <br /> J <br /> . G� � 3/�1�� <br /> , . <br /> � �� <br /> .� � .� , <br /> � � ;� , , �. � c:. �� <br /> � . <br /> , - �>-�'.��� _ ` � � f <br /> ��''1�'/1'��� � �"� � � �, <br /> D � �'',�'��,�o � ,- _ t� , <br /> DRIVEWAY SECTfON <br /> PERMIT IS VALID FOR 60 DAYS � --� <br /> COPY OF THIS APPLICATION TO BE POSTED t" LIP <br /> ON JOBSITE. �30�� I �— �L,r3o", <br /> CALL FOR INSPECTION 259-691 1 ��' <br /> 24 HOURS BEFORE CONSTRUCTION The undertignetl owner hereby agrees lo holE anC save hermless <br /> Ihe Ci1y ol Evereit Imm eny antl all cla�ms lo� Oamages. cosis. <br /> erpenses.or cnuses ol ection Ihal may anse beca.ise ol inslallabon <br /> dnd m2inlentnCe O� �he impfOVCmeni 0� olhCf �iqhbnl-wey use <br /> he�f.to aPp�ic� Ior anE Iurihci ag�CCs to rCmove Same opon nol¢e <br /> Irom Ihe GIY arW �u ieplacu put�Lc prppnlY JOmayed Viweby <br /> DEPAFTMENT APPROVALS <br /> SE W ER COMMUNICA��ONS <br /> DRAINAGE 1RAFPIC <br /> W�TER PIPNNiNG ySiGNnI�iCnai , <br /> �s/ ' �� <br /> s*aEEr aoo ss C/�g� <br /> _ ���� �B•�D � <br /> ; ��,. LRR� / Z,� ��►►� <br /> APPqOVED FOR CON iHUCT10N DniE ���Q J ��' S�D� _ <br /> 1ELE�'��ONE NUMpEF AL�EANAtE <br /> • �-./7 -8� <br /> nr�-raovEo nc cJNSTivucl[o - — � ..,r <br />