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, <br /> � � <br /> everetl <br /> '�I Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT I, <br /> �j Type o� pnnt cleady wdh mk � <br /> �� PRESS HARD -YGU ARE MAKING COPIES <br /> IPUBLIC WORKS ��J `j� <br /> I� EVERETT,WASHINGTGf� PERMIT NO. <br /> I <br /> II APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANV: ����"? � !� f�K 5 r�2/`� <br /> —� <br /> II HEREBY APPLIES FOR PERMISSION TO CC/J S%/?�l�T A Z� � I�R�u�= w.�ty O I�� ��'!�P/L�X �y , �� <br /> I (, / / f /�a/��i�/ � <br /> I AT THE FOLLOWING LOCATION �7v � �D�nr� '4i�'• <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: ��s_y�ga <br /> l�U�a.—` �o �n S <br /> l --` — � �'`k1 • 1 1 <br /> �. �X1S�S 1v� \^ S�cle wa�� �., y�2w df� UQv�a �rtct. <br /> �'�n11S� cl�C �� w�0�..7C�Yy a.,.J r��ICI,CPcY lD� 'M1��. i. <br /> �I (�Qv�'lOYc,�S w1�ts�-- � e �OHP �o NQ0.�C.^.'�" �A� S�O�n �9�� . <br /> , o✓ �✓ccw—c� a..� v�CO_!r:�T 3cvfQ v✓�urk_� � �� <br /> 1 <br /> - , <br /> ac• �-� t�•: �..� �t'�:Jf wn. -�✓ow+ �::� U �,-., � , <br /> �' �.r � ca .._:�. :�_ -j-o <br /> � ! { <br /> �GZ P'0.J� TS �v a.i `7'i�•J!'<_. � ��.�f `�-bl'�' Gi (2 0'� . <br /> 1 <br /> ' f�_.Z-:.vPC�;,� ��-{�'lP _=� :Gt::' W/.�i�. ?,.,�'.J �l-.v <` ��� ��-� <br /> I ' <br /> ��-fe�,- S�r.� �� N.,e;,�.;- ,,,,i�-i s•d a i5 0 �oe �..;:z J L �! � <br /> � .ga ; ' <br /> s-� ; ;�,� � <br /> � �7._ <br /> � <br /> ► <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS � �i J <br /> I , <br /> COPY OF THIS APPLICATION TO BE POSTED I" �IP I <br />� ON JOBSITE. 30�� I 30"� <br /> CALL FOR INSPECTION 269-681 1 '� <br /> 24 HOURS BEFORE CONSTRUCTION T�e untlersigneC owner hereby egrees to hoia enE seve na�m�e:s <br /> I I�e Ci1y ol Everetl Irom any antl all clnims lor damaqes. costs. <br /> i eepenses.o�causes ol aciion Ihat mey anse hecxuse ol mstallatwn <br /> dnC mBin�¢npnCC OI Ihe improveme�t or Oth¢r nghl-O�-wey u9E <br /> hernio eOP��e4 lor end lunher egrees Io remove Seme upo��otrce <br /> Irom t�e Gly gnC to replece public prOperty tlamageG ��ereby. <br /> I DEPARTMENT APPROVALS - ` <br /> 1 SEWEA COMMUNiCn110N5 I <br /> Dl1AINAGE TAp�F�� � <br /> yypTEq PLRNIIiNG SG UPE Of p� �AN�� � �) � � <br />� � 7 D/ �.e.J�Gb� � <br /> siacer nooacs � <br /> 5--� �-�� ��,,.�,� - � 9�av/ _ � <br /> cn. na— <br /> PROVLUPORC TRy�noN �/�E �z,� a -.� 91OP/ � <br /> 1ELEPHONE NUM�ER ALIERNRIE <br /> ' � / �o .>�`-/- �d I <br /> AP AS CO STRUCTED DAiE D4TE i I <br /> CONSTRUGTION/ASBUILT .ee 1978 <br />