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_ . <br /> ; �/ <br /> �Yefe„ APPLICATION FOR RIGHT-OF-WAY USE PERMIT � <br /> � � TyPe or prmt clearly wdh mA I ��\ <br /> PRESS HAHO - YOU ARE MAKING COPIES �� <br /> I PUBUC WORKS � O � <br /> VERETT.WASHINGTON ( PERMIT NO.�— <br /> I �{PPLICANT (UNDERSIGNED) ANO FIRM REPRESENTED. IF ANY: Nu�t�.�'�/''��'T�-- �i•r�iC� ��, <br /> � HEREBY APPLIES FOR PERMISSION TO ��r �N ��`�`�� ��G� � !a�'��/ ' <br /> d,� 35� 5T. � C`oLBy !'��= - �' <br /> I; AT THE POLLOWIN�i LOCATION j y % � � � / /� � � � P I <br /> i � <br /> ! DRAWING (WCiiK TO BE DONE) OR TNREE PLANS ATTACHED: <br /> ' �.F� /:�i�Nj �/�f�✓.�1� �,.,I�i9 TfD /�i9�PC'�.� /'�b �� <br /> .Y, i <br /> � � <br /> � <br /> i <br /> i <br /> i I <br /> I ' � <br /> I <br /> , I <br /> �� � � � 5 �'� g��r�-�^`� <br /> r ` � <br /> ' �/ 1 � � S �A�I�G ` <br /> ,V,��� i9 � <br /> ', �j K I, <br /> " �I <br /> 'II <br /> I <br /> ; � <br /> �, <br /> � I <br /> �� � <br /> I DRIVI•WAY SECTION �� <br /> PERMIT IS VALID FOR 60 DAYS � ---� li <br /> i <br /> COPY OF THIS APPLICATION TO BE POSTED I" uP <br /> , ON JOBSITE. I 30' I - _�.30�� � <br /> CALL F019 INSPECTION 259-881 1 I" <br /> 24 HOURS DEFORE CONSTRUCTION 7he undersigned owner haeby ngrces lo holcl end savc haimless ! <br /> tne City o1 Everett Irom any enA ell cleims lor demeges. costs. . <br /> ' ¢�penses.or causes ol eclion Ihat may nrise becease ol mstalletion , <br /> ' 2nC me�nlenAnCC oi I�e imO�OVCmEn1 or o�h¢� riq�l-ol-nay u5e <br /> herelo applied Ibr 2ntl Wriher egree5�o remove Seme upOn nObcR I <br /> Imm the C�ty enC to re0lace Dubbc propeity tlamagee �here�y. <br /> DF,BARTMENT APPFOVALS ,� <br /> � , I <br /> SEWER COMMUNICA � <br /> i <br /> OR/.IN�GE TRAiRC � � I <br /> �� v <br /> i <br /> WRTER VLANNING ' 9GNAiURE AcvL�CANi �,. <br /> � <br /> -- � 3 yi 9 srw h�„��t A� <br /> NODAE55 <br /> Slr•E[i Y� FV�t/�.DI WtQ3J+ 'r1�E20I <br /> j 7/ .� � cir. z�o ' <br /> � PN eowac� i N oa,E "� :ZSI-'SG�9� 2f9-u1,2r <br /> !� . I I � TELEFHONE NUMBE� AUEANp�E I <br /> '� c� ii LY ` 9��%� � �- z�- �� � <br /> I AP ED AS CONSTflUGTED � . ��E oArE <br /> CONSTRUCTION/AS BUILT .EE 1978 <br /> --- - - ` � <br />