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CVCrC„ 11 r11� /iX <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with ink <br />PRESS HARD -'.'OU ARE MAKING COPIES <br />PUBLIC WORKS -7� <br />EVERETT, WASHINGTON \/ 1f PERMIT. NO. -7 X <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED. IFANY:�y 1 I lMgVi `� [" w i <br />HEREBY APPLIES FOR PERMISSION TTO, A Me, sI Ir14 oto-,,P P JC�j J� I I L 'C\ I1 <br />G(a;Ye tt.1L..,..� c- d 'Afii 4 d'o <br />AT THE FOLLOWING LOCATION �� V I -�-t�P�4 y�'t'� w�"✓) <br />DRAWING (WORK TO BE DONE) OR THRE LANS ATTACHED: II <br />S�p,C;,t,,,Q ►�rRviro.w,'S 1 .t� / 11 I fyVC�Ur2 UK t� I <br />I.P. OCCO r r_t� Silo �l 110� 6 r' �oId-t G,.,i 6u, Pf",L or ST <br />Ole�nal{PFOV21 n�f TPd (J� Go^� L <br />QA' 16M roLrP., e�.1115 AYQ C lI- <br />/��r�Clthf r! StrJC ur2 (Jn <br />.a QCC I✓[LY\ cy % %iA� kw j 1 <br />fl.v toI�BL�%tta l Mro�1516>>S O(� C ^��e�4d r /1i <br />('\ �I VLI 5A GI 7oGT'N lfnclu[IiFly�ectlflrA/l�cuc(iPy�7) <br />�%Jppl pIAn51 Sic 1n Si C n . <br />�. l• '1 �I, to SI�NC�(/I� O�Y[e�•r/IOCCL�I�{,1 OI City�al <br />Fbr le 10C art tM &\ <br />pp sw,ll pl�led ,tor-rZf <br />a+e S f, ! <br />II 1:r orlupkt -�S `es <br />� / SurVr � an <br />�"�iLrl,e..- IA,klk (tl..i� m..e Su+v<LI wll� � 17ro✓�'-^ np duJ�)l,c1q,rin- <br />.,1,(vcs�rc,,',.ffu�I\,1,14-ou %S�l Streef �mAq be <br />9 e�v�WO-+��Iaoe v'wr-�-o" 5u✓yr?s,.. <br />G1'P,D,x1 c7 „t spkA,r. 14y <br />aY.l +'^'-t --- hours o�rJlsr�(�il:,. seta <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSI T E. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />P-0 <br />DEPARTMENT APPROVALS ��2s� ooj <br />n . % � <br />SEWER ` COMMUNICAT <br />DRAINAGE C \ TRAFFIC <br />WA <br />TER PLANNING \� <br />STREET '7 <br />AP p ly <br />F C \ S RUATE <br />J <br />DRIVEWAY SECTION <br />tI" LIP <br />1-301, T aT 30"; <br />The undersigned owner hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages. costs. <br />expenses. or causes of action that may arise because of installation <br />and maintenance of the Improvement or other right-of-way use <br />hereto applied for and further agrees to remove same upon notice <br />from the City and to replace public property damaged thereby. <br />d�R� i�G>.I` i AfLX'=. <br />,- <br />APPROVED AS CONSTRUCTED ([i.0� �TE -I CV1 <br />I REFERENC COPY <br />`' 2- l b UJE: k M pK17 <br />AD RIB—^'�� <br />CITY ZIP <br />1 <br />TELEPHONETNUMBER ALTERNATE <br />GATE <br />FEE 1978 <br />