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�� <br /> - - i <br /> i � <br /> everen <br /> Q APPLICATION FO,R RIGHT-OF—WAY USE PERMIT <br /> � Type or print cleady with mk <br /> �� PRESS HARD - YOU ARE MAKING COPIES I <br /> PUBLIC WORKS U <br /> EVERETT,WASHINGTON NERMIT NO.� <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: �Z'T � ' L I�2.�.>S�h-� <br /> HEREBY APPLIES FOR PERMISSION TO C'd'�'��`�T��"�C'T _G 5 � � GoNGf��TE. <br /> I �{ <br /> taJ� � <br /> , / <br /> � AT THE FOLLOWING LOCATION 3 J /� F � ��� � " J � <br /> 0 �_3-I)•Y� <br /> DRAWING (WORK TO BE �ONE) OR THREE PLANS ATTACHED: �r�� — , � <br /> � �,,,�,� ��-�'�'wl.a {a-K-*,..,,,w,,_� �.�c.,,.c�,.� l�-�. �c.,� � <br /> � <br /> _I,�-o- ;���-� t�� `����- � � � � J �(� <br /> i <br /> � <br /> i <br /> I <br /> I <br /> � <br /> I � <br /> I <br /> � <br /> . � <br /> � <br /> '� . <br /> i <br /> � <br /> i i <br /> DRIVEWAY SECTION <br /> I FiDR 60 DAYS I <br /> IPERMIT IS VALID �.-- --`i <br /> COPY OF THIS APPLICATION TO BE POSTED I" LIP I <br /> ON JOBSITE. I 3p�� I _L3o" i <br /> CALL FOR INSPECTION 2��9-881 1 t' �t" <br /> 24 �"��UR$ BEF�RE C�N$TRUC'T��N 7ha untlersigned owner heresy nerces to hom and sevo nermless <br /> ' Ihe Cily ol Everolt Iram any entl all claims lOr dama9es. costs. <br /> ¢�penses,o�causes ol aclion ihat may Anse beceule ot mslallation <br /> und maintenence ol Ino �mpra�oment or oiher rig�Pobway use i <br /> hereto appbcd lor an0 lunher ag�ces lo remove samc u0on nolicc <br /> liom I�e Cily antl lo replace Oub�ic D�operly 4amlge0 Ihereby. i <br /> DEPARTMENT APPROVALS I <br /> � � <br /> i SCWEB COMMIIN�CAT10NS - i <br /> DRAINAGE TRRiFlC I <br /> l � <br /> WpTEii PLANNING SiGl-n�iptiE O A��'JPLiC �l � I <br /> ��— ./VD / - �"L� <br /> srnE� ������ > nooncs:; %�J�C�J � <br /> , ,//f �v �,1� � <br /> ' '�����' ti. J�I _D �/ cir. ziv <br /> i A PFOVEDfOR STR TION Dn�E 3s� -893 � I <br /> / • TELEPHONE NUAIBER RLIERNRIE � <br /> i7�i` `� Z 1 � � � -- � <br /> , � <br /> QM�-- '— nAiE UMC � <br /> AP19� i ,P A.' f'(1NSTRUGTFf1 <br />