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_ <br /> - - ._. . _. <br /> . _ _ . _. <br /> � _ . ... � _ _�__�, <br /> o*'�'l <br /> everen APpLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � TYPe or print clearly with ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUeuC woaKs PERN,IT NO.��� <br /> EVERETT,WASHINGTON �/M �� ^�� <br /> /C <br /> APPLICANT (UNDERSIGNED)AND FIRM FEPRESENTED, IF ANY: <br /> HEREBY APPlIES FOR PERMISSION TO <br /> C'.d/l.)ST//L' 7" �J'r ��1� <br /> j '.���[�� �Ld /D� h� <br /> AT THE FOLLOWING LOCATION___S�d—L<i. <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> RPP/PDtIl�L SUkJECT 7'O PRd��'a�ouJ��ksN� P/�iJDc xcCd?Yd�J <br /> oF A cc�uc�i9,t�T PauJ�ka�'f��roeQi�I�YF�� �. �, D. <br /> a /� <br /> v � � <br /> � �x <br /> ��P�� <br /> �r� <br /> � <br /> � Ce� <br /> �� �� � , i <br /> � � � �:��: , � ,�� ► <br /> �i <br /> �RIVEWAY SECTION I <br /> FLRMIT IS YALID FOFI 60 DAYS � � �I <br /> COPY OF THIS APPLICATION TO BE POSTED _ � i" LIP � <br /> � <br /> ON JO@SITE. gp�� � �3o',J I <br /> CALL FOR INSPECTION 259-881 7 , <br /> 24 HOURS BEFORE CONSTRUCTION rne undersigned owner hereby agrees to holtl and save hermless i <br /> Ne City ol Everett irom any and all claims lor Eemeges, costs. <br /> eapenses.or causes o�aciion that may anse 6ecause ol installatrou I <br /> and maintenance oi Ihe improvemen� or other righl-ol-way use <br /> I bere�o appl�ed br antl�uriher ag�ees to remove same upon no�ice I <br /> Irom the Cny antl to re0�ace publ�c property dama9etl thereby. <br /> DEP EPQY A R VAL� I <br /> . . . , . . . . � ' l <br /> � <br /> SEWER ' COMMIINiCA IONS <br /> �__��� i'�w.-� <br /> OHAINRGE TRAFFIL � _ <br /> VLANNI SIGNNiURE OF APPIICAN ♦ <br /> WATER �O � \ � \ll'(Z \� Cn � 12�V 'R <br /> FDORESS 1, <br /> � ST ET � W (�I ��v __ � <br /> �V� 21P � <br /> GIfY <br /> �y,,, Y}'l� n .� �� ��1�� /� 3��,�- 3 �!y a <br /> � DAT 7 S'� � �;� A TERNCTE <br /> qpPq ,ED FOR CONSTAI�ION TELEPHONE NUMBER <br /> 1 \ �'3"�l 4� <br /> qppRpVEO AS CONSTRUCTED <br /> DATE DATE <br /> � CONSTRUCTION/AS BUILT Fee 1978 <br />