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s.• . .� <br /> • • • ��s/U�� <br /> everctl • • . • <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly wilh mk <br /> PRESS HARD - VOU ARE MAKING COPIES <br /> PUBLIC WOFKS <br /> EVERETT,WASHINGTON PERMIT NO. 7�� -2�-`! <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: V�*Y n � �w �s c N <br /> r — <br /> HEAEBY APPLIES FOR PERMISSION TO C S//G4PcO d r z',,cw c.�.r LC I '+f�- I �)� {?P,{'� <br /> _�or� <br /> AT THE FOLLOWING LOCATION 7 7 2X �Lr�N UJOU/� �UF. _ _ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: , <br /> _c 'Ay� .�C.' � ��.,k� Y`.' '��1. ,.��..!,�.k.t. :�>—C. `l��-T�C.�.1—N <br /> � v � <br /> �... <br /> //� � '''')�`— ;._ .( .�"; . ( . �., ri' �� . <br /> t'_..'� :-�F�/ �..f�l-�. '��1 /'lt-�C,!/-L �' . / . �' ��� i ,. :v; - ._ <br /> I - a 1 .) ,1 . :'( _. <br /> J <br /> ! DRIVEWAY SECTION <br /> IPERMIT IS VAL11� FOR 60 DAYS {�_ � <br /> I <br /> I COPY OF THIS APPLICATION TO BE POSTED � i" uP —�� <br /> ON JOBSITE. �30" �30" <br /> II CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION <br /> iThe undersignetl owner �ere�y agrees �o hold antl save narmless <br /> Ine Ci�y ol [verelt Irom any untl all claims �or tlamages. cosis. <br /> I fxGCp!C5.Of C005C5 OI pLIiOO Ih3�I112Y 0lISC bi.:.11lSC OI i05idlldllOn <br /> dntl mamtenance u Ihe miprovwnent or otber nghpol���iy u��r <br /> � licu•:�i ;u�PLod Inr nn�f lurlher apires 'o run�uee san�,r uVc � , r:r <br /> � Irom Im. Ci•-: _:-iq lo rr�l�ldu� PutiLc piuPnif �fani,v�erf t�,�iobq <br /> DEPARTMENT APPROVALS <br /> ; <br /> �I stwir� co�rwr��c:.;�a�;.: - -�- <br /> DRAINAGE TRAFFIC / " <br /> ,/f /..: <br /> ��;��•J�'D �7��1•.�.:%'�J <br /> '�YA1CR PLA6NING 51 NAiUNE OF qPVLICANi <br /> ,' �a>a�, ;P.r� �7aia�- -- <br /> I Si�vEEi aOORE55 � ° <br /> ; ` �hGhU.��� •S�,/i - - --`�c�o2'7C� <br /> `i <br /> � �l�I�U�� ' � �— �a �� J cirv / /' z�n <br /> PPf10VED FOR C '7RU,rON OFTE 33)��J2%� <br /> Ii1EPHONLNUNBER � " '"' " " , ALIERNAiE <br /> � /�:E/��E-1!. <br /> �2 /o.n^�-�—_._'— - <br /> APPROVEDASCCNSiHUCTED OA16 pAIE j�„�� ., <br /> il6FERENCGCOPY �ee ,o„ <br />