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. , � � �? ���� <br /> iJ:O <br /> everett_ <br /> � APPLICATION FOR RIGHT-O�-WAY USE PERMIT <br /> � Type or print clearly with mk <br /> PRESS HAND - YOU AFE MAKING COPIES <br /> I PUBLiC WORKS / [ v <br /> EVERETT,WASHINfaTON PERMIT NO.� <br /> APPLICANT (UNDERSIGNED)AND PIRM REPRESENTED. IF ANY: � / �� �� '' � T I� y �� J r �- <br /> FEREBY:,PPIIES FOR PERMISSION TO u S —� �% ! ! --' I J ��Y � =� �� � //y V � <br /> ATTHEFOLLOWINGLOCATION � `` 3U Ev�rur�� h ��� � Z '✓�% V1 � ll�H <br /> DRAWING �kYORK TO BE UONE) OR THREE PLANS ATTACHED: <br /> z <br /> 0 <br /> � <br /> � <br /> m <br /> —�-1� <br /> •-� —� <br /> N m <br /> C O <br /> m� <br /> O 3 <br /> -� i <br /> m � <br /> �o z <br /> c <br /> � i <br /> .� .. <br /> < �' <br /> o � <br /> -n 3 <br /> —� m <br /> x <br /> m .+ <br /> 0 <br /> � <br /> o r <br /> n m <br /> C N <br /> 3 tn <br /> m <br /> � � <br /> • m <br /> n <br /> a <br /> -� <br /> ORIVEWAY SECTION a <br /> z <br /> � <br /> PERMIT IS V/f►LID FOR 60 DAYS � _� I N <br /> COPY OF THIS AP?LICATION TO BE POSTED i" �ip � <br /> ON JOBSITE. � 30" � � <br /> I _so" I � � <br /> CALF FOR INSPECTION 259-881 1 I- 'T T m <br /> 24 HOURS BEFORE CONSTRUCTIOPf The undersignea owner norety agrees �o hola end save harmless <br /> ��-- - �� � Ihe Ci1y o� Everetl Irom any entl all claims br damagos, costs. <br /> - e+Denses.or cfiusos o�action ihai may qn.2 Uec:Wse o!inslaliation <br /> antl mamlenance ol Ihe improv^ment or other righl-M-waV use <br /> .• � .. - hereto appl�e0 br and lurlher ag�^es lo remove Same uoon notice <br /> Irom Ihe Ci�y antl fo replace publ¢ p�Ope•ty Eamnqetl Ineraby. <br /> `""`DEPP.RTMENT APPRQVALS <br /> � r-;,._ . , <br /> -�, <br /> .;� <br /> SEWEF " ' ' ' GOMMUNiCATi0N5 <br /> pRaINAGE TNFFfIC <br /> W�TER PLANNINO SiGNATURE OF PUC � ��� <br /> 3� b' — ?�r</ S'Gt/. — <br /> STHEET AOOAE55 <br /> �" �✓� �.� f/- � �` ��3 <br /> /� -�y-- // /// ' CITY LIP <br /> f'./�'U� .�� /'h.L?'� Y �� <br /> APPqOVED FO CONSTflUC IOtd / 6nTe ,3�J— y 6,�- (' <br /> TELEi'MONE NUMOER HUE�INAIE <br /> J- zS= .�/ <br /> APPROVED AS CONSTRUCTE� onrE DnrE <br /> REFERENCECOPY Fee 1978 <br /> . ��� �.- ,..... .. - . <br />