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-+ <br /> i <br /> jeveren <br /> � � APPUCATION FOR RlGHT-OF-Y �AY USE PERMIT ! <br /> �� Type or print Gearly with ink � <br /> .; PRESS HARD - YOU AF.E MAKING COPIES <br /> " PUBLIC WORK3 p � <br /> � EVERETT,WASHINGTON PERMIT NO. b ���— <br /> � APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:_ _ '� <br /> � <br /> ii HEREBY APPLIES FOR PERMISSION TO ' <br /> i � <br /> — I <br /> IAT THE FOLLOWING LOCAT�ON �� Z �- � I�/7 W Q d �?' V F <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I�, 'Y �Q.N'��.��'��--� l/w�N'� ("'.`-pC� /,j,c��/ J.i."c�Yv�: Q'✓1cE!'i l�Y�C�-' <br /> //jj � � <br /> �� �•� (:�/L(�/`.�t�.�'� . <br /> r� <br /> � �� � �,..���� �_.,� %',. .�,f �L� L�-e/r-��e �=��,,�e.,�,� <:� C�� <br /> , �`'' �C X" � i <br /> � �n .��r_•,�� �,�y,���,C_ (Yvli ��°-•�[,.t--d� - <br /> ; �> ;��,���`�-,� �� L,�,-,�. �=�.��,,,`�!� C"��. ;�� ��� � <br /> � � ��� z „ . � <br /> I � ,�,����' <br /> � —� . "='F'(,'��(,1�� Lii � � ' i <br /> i <br /> i " <br /> I <br /> I <br /> i <br /> � <br /> i <br /> I <br /> � I <br /> I DRIVEWAY SECTION <br /> PERMIT IS VALID I"rOR 60 DAYS � __—� <br /> � COPY OF THIS APPLICATION TO BE POSTED � � i^ uP <br /> � ON JOBSITE. <br /> CALL FOR INSPECTIONi 259-881 1 �30�--- ----•�+30" <br /> 24 HOURS BEFORE CONSTRUCTION 7p�, unaers�gned ownor ncre�y nqrees Io ho�tl and seve hormless <br /> I Itip Gly ol Everoit Imm nny nnd oll clmms lor damnges. cosis. � <br /> , a�pCn5L5.Ol L.1115C5 01 OCIiOO Ih01 TOY BIIS¢bCCAuSC OI�(IS�llllpbOn <br /> :�ntl mmnlenTnce ol Inc �mpruve�nenl or oiner nghLo�-way use <br /> ��erelo applictl br antl furti�m ngrees b remove same upon not¢e <br /> boin p�e C�Iy antl to wv�Tcc purb- o���Y tlamagetl mereby. <br /> I DEPARTMENT APPROVALS � <br /> � <br /> � -- — <br /> � SE\YEii COAIM1IUNIC�110N5 <br /> � <br /> I <br /> ' GHAINAGE iRAFFIC 1�. <br /> � _ � � _ 1� n/ 7 f'i/r/1/j?E�G�/�/ �� <br /> I WATER P�ANNING ' SIGNATU E Oi APCLICANT <br /> ;?/OG- S v�/rA�'.rT <br /> � ;iAEEt � aoonEss � <br /> j c�;� ���-2�.r�','_' �'-7 - �D -v � .���-- 9k%�/ <br /> � ��,. .��, <br /> � A P OVED FOR CON 7 UCT N ontC / / '7^^ _ �1�'T; <br /> � �.J �' /C�v� �j .j" 1��� ' :7S <br /> //— TELEVnONE NJMOC9 ���EBNnfE <br /> _�� , ��--�e�� %U—��_ Sfll� � /9 ----- <br /> � n PROVEU Ati C NS RUC11.L nniC o.�*C <br /> �I .:i. 'I ' � I �'..�. �jl)� ' . i _'__ _. .__.. --____ _._ . . __ . __ . _ .__- <br /> ._. _—_ �9�8 <br />