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• , <br /> everen <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT - .,�;�. <br /> Type or print clearly wilh mk , <br /> PR6SS HARD - YOU ARE MAKING COPIES � '��"� <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. � � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANV: Mll�t(/ � `�I SSGHL--�P— <br /> HEREBY APPLIES FOR PERMISSION TO =-��CS��G �F-J STi�v4 �/!� !�U l TH GU�r�y_ �� <br /> r <br /> CYLiTTL-1IZ £ Si'�.L�AL.►C., <br /> i <br /> AT THE FOLLOWING LOCATION / /VQ✓ �CJU� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> �c="�//s'c� �ffJ2l'S �c�G�,�S��--� � <br /> �G17- /l/d l���/�/�lG� "�,��/�ll T <br /> 4�1D l �Z'��',P�'Jl/'�.� ��/��%��'�S ��-.� � <br /> ���� �'��.�l��Ji� idls����`".� �-.S <br /> elJc� i�� ���l.c.� — �� 1�,�� '�S � <br /> ; . . �; <br /> �G.1� � �C�G������ 7_� .. <br /> � � � <br /> ; <br /> QvL.s��� o �n °����'a (, ' � <br /> � �� jo �-e_...� -- -, � <br /> Ct, �- — � <br /> �-�v-���� , <br /> �� i <br /> DRIVEWAY SECTION .� <br /> �ERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED + i" LIP <br /> ON JOBSITE. ' , <br /> CALL FOR IPiSPECTION 259-881 1 30'�„ 30" <br /> 24 HOURS BEFORE CONSTRUCTION T�e unCarsigned owner hereby agrees to ho10 and save harmlass <br /> I�e Cily ol Everelt Irom eny and ell claims lor demages, cosis. <br /> expenses,or cBusas ol action Ihat mey erise beteuse ol inslallation <br /> and ma�ntenance oi Ihe impmvemenl or ot�er rig��-ol-wey use � <br /> �ereto apylied lor enG lurlher agrees to remove same upon notiCe <br /> Irom t�e Cily anG lo replace publ¢ property Eamagetl IhercOy <br /> DEPARTMENT APPROVALS <br /> . SEWEH COMMUNICATIONS <br /> OqRINAGE TRPiFlC �I � <br /> J// ♦ <br /> ��.ifn,�d�.< 1 i � <br /> W�TEP PLANNiNG S�GN�TURE OF�PPI�C�NT� �- , <br /> �/7 0 �, u�.z..�.L L�..� ,Qt , <br /> STRE[T DORE55 � � <br /> �/,-[.�1.Z7 IL'lA.�( I Fs.�D � <br /> GITY ` ZIP <br /> APPHOVED FOR CONSTRUCTION o�rE `d.�`.� � 33"�� <br /> � TEIEPHO(NE NJMBE(i RLiERNATE � <br /> ��C �iG(.'. � 7 <br /> APPROVED AS GONSTRUCTED DniE ontE �� ' <br /> 1 <br /> rcc 1978 <br /> CUSTOMER <br /> � <br />