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� . <br /> I <br /> Ie�e.en -- <br /> � APPLICATIAN FOR RIGHT-OF-WAY USE PERMIT <br /> IType or print cleatly wlih ink . <br /> � PRESS HARD- YOU ARE MAKING COPIES � <br /> iPUBLIC WORKS � (,/ ;� <br /> EVERETT,WAS�IINGTON PERMIT NO._ <br /> � <br /> IhFPLICANT (UNDERSIGNEC)AND FIRM REPRESEN7ED, IF ANY:_ — • <br /> IHEREBY APPLIES FOR PEFMISSION TO � <br /> � AT THE FOLLOWING LOGATION 7 3 �� C C) �� ry �tl P ' <br /> I DRAWING (WORK TO SE DONE) OR THREE PLANS ATTACHED: <br /> / � �{' ` ,t,� �:� <br /> � L.fi�'f'1..� r ?��i v r.�.' t,� (� - /Yt.r (GZ. <br /> �.,t_:.ct 'i ' CL•�i:-� r ' <br /> �,�...{� � .� �� �� �� i_��' �/ (/J i- �4/t-G <br /> ,'... �.L'-_`^'%1"'"x1-+r_ .. _ r -.l ` (—� (� � ',/! � <br /> ..J <br /> I I <br /> � I <br /> I <br /> 'i <br /> i <br /> I <br /> DRIVEWAY SECTION I <br /> I PERMIT IS V�1►L�D FOR 60 DAYS � ---� � <br /> ICOPY OF THI� APPUCATION TO BE POSTED � �i" �iP -�� <br /> ON JOBSITE. ` I <br /> T I CALL FOR INSPECTION 259-BB1 � 30�L _l_3a"�.I <br /> �_ „ <br /> 24 HOURS @EFORE CONSTRUCTION tne��aerc�q�aa ow�or hrre6y eg�ees�o h010 e�A 6eva harmlCes <br /> ine Gly ol Everelt Irom eny entl ell cleimn lor dem»�es, caSte, <br /> � exqrnse9.or ceuse6 0l atllon ihel mey arroe bBceUse o���stellebon <br /> antl mc:ntena�ce al Ihe improvement or oiher ngM-oLway u!e <br /> hPrP�o epP��etl�D�Bn0 lurlhei qgr.res Io remove 68m.� upon n0uce <br /> Imm 1he C�ry end to rep�xce o�oi�c Noperty Oama9ea the�eby. <br /> i DEPARTMENT APPROVALS <br /> I I <br /> ISEWEA COMMUNIUTi0N5 I <br /> DRRIN�OE TR�ffIC — ��� <br /> �y �� .� <br /> NnTIiR � OI�NN�NG S�GNnTUREyO�.� ��'LiGAHT � <br /> �� � �1..{.�L` '. �l..,l H ,\ _— <br /> I S*n�.ei — n�naq,t.ss f r,'- I <br />,� J.I�_N �1 l''±{� �L'�--t`i`.�� "�'C�/L� <br />' C11Y ZIP � <br /> APPROVEO P09 rONS RUCTI N D�iE ���J,..� \l� 1 <br />, TELf>MONF NU:�BEF RL'ERN�tE I <br /> -- �Z -l U-`��=� --- � <br /> - ��,v�:,,��,��, ��,E :,E <br />