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, <br /> , -_,. i �� <br /> � � <br /> I , 15v!►!If • r <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or print cleady wlth mk <br /> `� PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. �9 �'� <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF AN`!: �A�� �� ��` N _. <br /> IHEREBY APPLIES FOR PERMISSION TO C ShGved d r� �w �-�'�'l f ! � ! OT n�.Y� <br /> ��' <br /> AT THE FOLLOWING LOCATION �7� 26 �L[� N WOd D �UF. - .1 <br /> DRAWINO (WORK TO BE DONE) OR THREE PLANS ATTACHED: , <br /> � � �� ��-�" .G--� `�ti��J�9-�C� <br /> � -� �-� r� -t'� c���,�-�._� £ <br /> � <br /> s ; <br /> � <br /> i � <br /> ; -_ � <br /> t' (�o'"'�°r"+.-f Q s <br /> ;' hc� �"'P�� • �ll ! <br /> � , ..�- �- �^s ` <br /> (���wr �w` / I <br /> � O.G*'m �S h�o,.�'� �- �. � <br /> � � �� �iCC��� <br /> ��.J�y ::.�w S° <br /> P"° � ,o,Z�_� <br /> � �� <br /> � <br /> , <br /> DRIVEWAY SECTIQN <br /> PERMIT Itt Vr1LID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED i" �IP <br /> ON JOBSITE. I _30'� _L3o"_I <br /> CALL FOR INSPECTION 2'59-881 1 I� <br /> � 24 HOURS BEFORE CONSTRUCTION 7he undersignetl owner �ereby agrees to hold antl seve harmless <br /> I�e Ciiy ol Evereit Irom eny anE all claims br tlemeges. cOsis. <br /> j C%pCfI5C5.Of CBIl5E5 OI BCI1011 IhPI T8}'9fI5f�CCBIISC OI i115I211dI1Of1 <br /> an0 maiNenance ol I�e impmvement ar other ng�bol-wey use <br /> �erelo AppLeO br anJ lurlhe� agrees to remoee same upon notice <br /> Irom Ihe City xntl lo repla[e publ¢ properly damagetl Iherehy. <br /> � DEPARTMENT APPROVALS <br /> SEWER COMMUNICAilONS <br /> ORAINRGE TR��FIL �.�i�, J � l <br /> WATEN P�ANNING SiGNAT_J�Le'oi nan.icnnr �� �_�✓ . <br /> /d�iO�SP��HP �,�/ k'�, — <br /> �T9EET — — ADDREiS �� <br /> � ��..o- ��ay� <br /> S��ohom�.� EAEkiEll <br /> � � (� --7 �, _---- z F <br /> PPROVEDFOPC TRU TION o�iE - 33)-�2g �,!r�;-��ril <br /> TL�EPMONE NUMOCR RLIERNFIE <br /> � __— // ���� _ <br /> . .Af'��i�UiFf` AtiLONST�GUC7LD �-- - �•�;� <br /> I ni: Yr <br />