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-- � — i <br /> I — <br /> Ieveretl l <br /> , � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with mk <br /> PRESS HARD-YOU ARE MAKING COPIES <br /> PUBLIC WORKS PERMIT NO. ��� S�' <br /> EVEFiETT.WASHINGTON \ �t ' <br /> APPLICANT(UNDERSIGNED)AND FIRM REPPESENTED.IF ANY: �A`2�'� `— ���-1 ��� OO rv�U���S <br /> HEREBY APPLIES FOH PERMISSION TO V S C SIOC � r��-�. n i��A TO � 1` E M��� �- <br /> $.rr�ZC ` ,�t,N� � lJc.�uDCS Nl�f<k���i ST��IS C�c-i� vCN1C.l.i=S <br /> AT THE FOLLOWING LOCATION LL7 I� G O l—C'�Y <br /> DRAWING (WORK TU BE DONE) OR THREE PLANS ATTACHED: <br /> Siocu�h��� � C'A���\N�� Sz ���S wt� v 3t 3 �G�1�CD <br /> ' � CGOSS�iLJC� 1GN l� 5U1�-'OJLE� <br /> ll u ��i�.l C., C c 1,i ST��-C-Tt 0 IJ. <br /> 5 A�' /Su1J /-3I ��t-/-�/ . <br /> 5�c;t�����` wi � � i5� LSi��Li.ic.A�LD �o A��cuJ P� o� S� �in� <br /> � i<nF � tC, <br /> DRIVEWAY SECTION <br /> PERMIT IS VALlD FOf3 60 DAYS 1�--- ---'j <br /> I <br /> COPY OF THiS APPLICATION TO BE POSTED I" LIP <br /> ON JOBSITE. �30'� _I_3o" <br /> CALL FOR INSPECTION 259-681 1 <br /> 24 HOURS BEFORE CONSTRUCTION The underslgnod awner hereby egrees to hol0 anE save harmlese <br /> the City ol Everelt Imm eny anC ell claims lor Cameges. costs. <br /> exvenses.or ceuses o�etlion thet mey arise beceuse of mstallebon <br /> qntl maintenance o� Ihe imOrovemenl or olher nghbol-wfly use <br /> hereto app�ied lor anE�uhher agrees�o remove same upo��abce <br /> Irom 1Pe C�ty anC io reD�ace p'ibhc propeny tlamage0 tnereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNIGTIONS <br /> ORA�NRGC TPAFFiC . 7 -������ � �{ � <br /> Jif �v�- <br /> �J��. <br /> W�TER <br /> PLANNING SIGNRTURE OF R PUGANT ' <br /> 1910 ��iu,'c�1��� (1��. � � <br /> no�ss � , , <br /> STREET �� 'pZ <br /> ��L IIP <br /> �� ��.�� /�17��1__— cnr <br /> Z� , � dA,E 32� (���o <br /> APPROVEO R CONSTRUCTION qL1EaNATE <br /> TELEVHONE NUMBER <br /> / /��/� 1 -_ <br /> APPROVEU AS CONSTRUCTED <br /> D�TE O.V E I <br /> fiEFERENCECOPv rce�/ t978 <br />