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I <br /> everett <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> v Type or print clearly with mk <br /> . PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS � <br /> EVERETT,WASHINGTON PERMIT NO.�_ <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED, If ANY: �ZT � � L �� ��S�h-� <br /> HEREBY APPLIES FOR PERMISSION TO— Gd'���`�TIu�GT !.�� �T GC/�-/Gj�,��'�, <br /> -t�l w, __� ' <br /> ATTHE FOLLOWING LOCATION 3 � �'u F � ��Q � �U � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: �3���'�0 <br /> � ��=(;�-��" �-�'� {a-��-k�-�-,�-�, �',.�c,,.,c�„a C�-Q.� �<.,�,Q <br /> _�.o- ;�'<��-� t�'F�,,., `7�-�� � l , I y �G <br /> i <br /> I <br /> j <br /> i <br /> I <br /> DRIVEWAY SECT'ON <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION T;: BE POSTED �^ ��p I <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 �.30" I_ �30", I <br /> 24 HOURS BEFORE CONSTRUCTION rn� ��ee�sia�0a ow��� �erc�y egrees ro hola unU sevo narmless <br /> Ihc City ol Everelt Irom any and 9II clalms lor damages. Wsis, <br /> ee0en5es.or couses ol Uclion Ihat may ariso because ol inslallat�On <br /> antl mnintenance o� Iho improvement or ot�er ng�4ul�way use <br /> �ereto applLLb lor antl lutlher agree.lo remove same upon nobce <br /> I�Om Ihe Cqy an0 �o replace publ¢ O�operly tlamagetl the�eby. <br /> DEPARTMENT APPROVALS <br /> I <br /> SEV/EP COMMUNICATION$ I <br /> I OflRINAGE TRAffIC I <br /> i�R ` ` � <br /> WATER P�ANNING SiG AiURE O APPLiC � � <br /> ✓VD�- <br /> STREET / AODRE55 � <br /> ( O I <br /> ; ���:�,� ,�,� .�-1 -60 ��� z,�'��� 3 <br /> �AhPROVED FOR STR TION DRTE ., '3s? 8/ 3 � <br /> / TEIEPMOHE Nl1MpEl1 ALTERNAt[ <br /> 4�..`_i L� � ^ � l <br /> APPP � A CONSTRUCTED � OR1E OniE — <br /> ' CONSTRUCTION/ASBUILT � rce I <br /> 1978 <br />