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i <br /> everen <br /> � � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly wrth mk <br /> P9ESS HARD - Y01) ARE MAKING COPIES <br /> _._... � <br /> .� ."'—�..P2ioCf�'WOri1C5.__._'_. ____ .__.—..._. ._.___. . _ .. _ . <br /> EVEflETT,WASHINGTON PER�v11T NO. - <br /> I ( j , 1 <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, If ANY: ��:1� �. _ C r. �� - I--I . " <br /> HEREBY APPLIES FOR PERMISSION TO `/ Q � `� + P u — I�. � 1 + 'T - -+ 4_ <br /> AT THE FOLLOWING LOCATION_ �= � L —+ CS" ' � . �;� �- .• . �`� {/ - <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � �` �e� s <br /> � �� r <br /> �� a�� <br /> �. <br /> L OR <br /> ��� <br /> a�� �� <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR Ci0 DAYS {�.� � <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED + p� �ip <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 �30",� �30"� <br /> 24 FiOURS BEFORE CQNSTRUCTION 7he undersigned owner hereUy egrees to holA en0 save harmless <br /> tne City ol Everett Irom any and all clnims lor damages, cosls. <br /> eMpenses.or causes ol action Ihat may anse because ol installation <br /> antl mainienance ol Ihe im0�o�ement or other ngh4ol-way use <br /> hereio app6etl for antl lurtber agrees b�emove same upon nobce <br /> Irom Ihe Cny an0 to repince pubbc pwperly damagetl tnereby. <br /> DEPARTMENT APPROVALS <br /> (_., _ i' ., - G <br /> SEWER ,_ . �'I � '�' GOMMUNiCAT10N5 <br /> I � i _ _ , <br /> DRAINAGE , iHAFFlC � <br /> IB'. , ' '. ) <br /> Ft - 1 1:.�_�.:.:'•.,�.� � � L �Ji�i� <br /> WATER PLANNING SiGNA IRE OF qPP��L'FNL <br /> ...�..........._ .. . ........._...._ .._....._. ^ <br /> TT�S��7JJ G YT�') I�c1� L L f<�c , L. �..Jr�i,� <br /> STREET ADDRE55 <br /> .iq_U ;-';o'i! :'.lu��i � <br /> �� �y/ � �r..��.. .:.,.. �: yti, i.K:� ti `l 2 a '? <, <br /> _ ��C1v-� /^l..,���— 2�C��� .crtr �.7 ziv <br /> APPROVED FOR C NS RUCTION ATE 11 �,I '; _ `�°'� C1� � �' � _ l � � Lr.�� <br /> / —1 'I <br /> TELEPHONE NUMBER ALfERNAiE <br /> APPROVED AS CONSTRUCTED DniE DnrE <br /> ��1�;�;�L�;-d5r'Fc�r�or: I1CauESTGD �i.i <br /> 1978 <br />