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, <br /> .��q s !6 n r cLC.--l� ��/) <br /> y evefCtl <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> I � Type.or prmt cleaNy'w�th mk <br /> i PRESS HARD -YOU ARE MAKING COPIES <br /> iPUB�IC WORKS !/' <br /> EVERETT,WASHINGTON PERMIT N � V V � �� <br /> � APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> � <br /> Q� �/_ � �� �—�[ <br /> HEREBY APPLIES FOR PERMISSION TO ������ ��fi�- "l�h�i►' �U"yt�Q/ G'K�f.:� CG.- <br /> I L� � <br /> I � � <br /> � ATTHEFOILOWINGLOCATION���.�,Ln.� ��� � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> r <br /> � <br /> � � <br /> � <br /> � <br /> I <br /> � <br /> I <br /> i <br /> _� I I <br /> � <br /> I <br /> � <br /> I <br /> DRIVEWAY SECTION I <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 i� �- ��30" <br /> 24 HOURS BEFORE CONSTRIlCTION <br /> T�e untlersignetl owner hereby egrees to �oltl entl save harmless <br /> I�C CIIY OI EvCfCIi IlOT dllY eOd 311 p181Ri9 IOf (181tiA825. COSIS. <br /> Ptp¢lI90i O!C20525 013CI�OO�h21 mBy 2li42 bPC21152011�91211P}On <br /> an0 meinlenance ol ihe improvement or other nphl-ol-wey use <br /> hereio apOhetl for an0 Wnher agrees Io remove same upon no�ice <br /> Irom Ihe C�ly and to replace pubLc O�operty tlamagetl the�eFy. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMpNICAT10N5 <br /> � C <br /> i DRAINFGE �' TRAffIC �(\� \ <br /> ' \\V\ <br /> W�TER � ��J I <br />� PLANNING IGNAIUR[Of qPP i --� <br /> STREET � OL, ��� �J\ �III Y'\ fJ <br /> � o �E.ss <br /> �� Q �, �- ���C� _= ��� ��Q_-�,-; ���- 4Yzoy � <br /> CITV LIP <br /> APPROVED FOR C F�TRU�ION oATE J)3[f� LI�/..'� / <br /> __I%R�/p— Ilo/IMr+� TELEPnC.iENUM9EH a�iEFNA1E <br /> zr �rw �� G_ �y - go <br /> AP94�D/�J AS CQNSTRUCTED OATE pprE <br /> CONSTRUCTION/AS BUIi.�' ,EE 1978 <br /> J <br /> � <br />