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, • . <br /> ' ��E- �. 0. �20 2-0 9 -�'1� <br /> ��c��n /►.PpLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � . Type or prin�tlearly wi�h mk <br /> PRESS HARD - YOII ARE MAKING COPIES <br /> PUBLIi.WORKS � ��/ <br /> EVERETT,WASHINGTON ` l PER IT NO. <br /> T' �I l� �"T f�t �l � <br /> I APPUCANT (UNDERSIGNED) AND FIRM REPHESENTED, IF ANY: Tj <br /> r � � ' � <br /> HEREBY APPLIES FOR PERMISSION TO� � � , � t� '``r� <br /> _ �� ; t � ( f, J -. � t ��c �-t <br /> / � _.� � { , rl �,�r �� , 'Sf/�� L j.l��)r� -�-1 /-� vF <br /> AT THE FOLLOWING LOCATION — <br /> V <br /> DRAWING (WORK TO BE DONE) OR ��i1RiEPLANS ATTACHED: <br /> ��i;..l,���O! <-=� '_� � .'( � ,�/ <br /> I: , . .�� ;,.. G"� // �/ J <br /> � �� -.. + � �/Uf� c� 1c17{� <br /> _ , � <br /> 1v � "'� <br /> � ' -J�.,r�+•�»o'' �� <br /> (�� � � � �;v , fi= <br /> � ,���� 1: 1 � y / <br /> - ; f � �y ,�� <br /> _ � � <br /> ���� <br /> � <br /> : <br /> , �,/ <br /> t <br /> ' I � eC�C1i/ ir, s � 2 / ��f <br /> �� l <br /> i <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � ---� <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. gp�� � �T 30"�� <br /> CALL FOR IN8PECTION 3l39-881 1 <br /> 24 HOURS BEFORE CONSTIiUCTION Tne undersignetl owner here6y egrees to ho10 and save�ermless <br /> Ihe City ol Everelt Irom any antl all cleims lor Oameges, costs, <br /> . eepen5e5,or ceU5e5 ot atiion ihet n�ey arise beceuse ol inslallebon <br /> and maintenance ol �he improvemenl or olhei nghi-ol-way use <br /> hervlo applred for antl lurine� agrees�o�emove same upon nobcc <br /> Irom 1he Ciry antl lo reviac� o�ei�c property Aemage0 Ihereby. <br /> DEPARTMENT APPROVALS <br /> ' � <br /> �, <br /> SEWEP / � COA�MUNiGAlIONS �� . <br /> DRAINRGE I i�4FFlC ♦ <br /> � �� t. <br /> �-_� � �J,�,;'� . �,�� <br /> �yA1Eq PLANNING SIGNI. U�E OF qPGLICANT <br /> � ��l c' l/;l . � �t��'! <br /> STRE . �/ . ApDR[SS t � <br /> , , ) i / ���,�, , �F r � �� � � <br /> �r ,.•J� , �7'�.� (�(%��- � oi,.. zia <br /> , � --J / <br /> qPPFOVED Ofi CONSTRU �ION —�ATE / � l"- "' � J ��� <br /> TEIEPHON[NUMBER /+UERNFIE <br /> \ l�,�t�. C/ �/ { ��� - <br /> APPROVED AS CONSTRUCTED ���E �A�� ��� <br /> t (: <br /> \ <br /> ;���i� in� i,�!si�r_criov r+�c�uFsrr_o <<E is�s <br />