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i _ . . .. - , <br /> , . - <br /> _ � j evrretl ' <br /> � � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> I Type or pimt clearly wilh mk <br /> PRESS HARD - YOU ARE MAhING COPIES <br /> � PUBLIC WOIiKS . <br /> � EVERETT, WASHINGTON PERMIT N0.�7-�— <br /> IAPPLICANT (UNDERSIGNED) AND FIRM REPRESEN;ED, IF ANY: �,�,�� '��'✓�C�'�[-G-� �� <br /> HEREBY APPLIES FOR PERMISSION TO / ' �� ''� �'+ C � l� - cJ G) /�T f�j-i �.^.G i /�%/� ' C"/� <br /> .v/ � •i:: �_ �vnl�N �F /� 'F_ G-�i/i�'�•�J <br /> ����6�E��;.-� � a� -_ � , '_ � — <br /> �� AT THE FOLLOWING LOCATION - <br /> QAAWING (WORK TO BE DONEj OR THREE PL S�ACH[D: � <br /> / <br /> 5 � S�i� ��tdc�.��G� s����o �r�i.r��GU,e.B�'`��G���T� <br /> , <br /> ; <br /> , <br /> 1 <br /> 1 _ . .._. ..._•�- " <br /> I <br /> I I <br /> i � ! <br /> 1 <br /> - - - ---- -_ __ � _1 , . <br /> - , <br /> i � <br /> , �___ _--,� <br /> ' � _ ___-. -- � - <br /> i <br /> I DRIVEWAY SECTION <br /> � PERMIT IS VALID FOR 60 DAl%S �_ � � <br /> � COPY OF THIS APPLICATION TO BE POSTED [ i" LIP i� <br /> ; ON JOBSITE. <br /> i CALL FOR INSPEC�TION 259-881 1 �..30'�_ ___�30" � <br /> 24 HOURS BEFORC CONSTRUCTION Thc undenignc0 owner �ereby ogrces to hold antl save hermless <br /> Ihe Gry ol Evereft hom any nntl nll clnims lor Aemeges. costs. <br /> � . e+penses.or wuses ol aclion Inal may arise�ecmise ot installahon <br /> i nn[1 mmni��nlnce ut IDe impmvemrnt ar o��w nghpol�wAv usc <br /> i�rrelo apphe� lo� pnd furihrr a9recs to�emove same upo��o��ce <br /> Imm Ine C��y d��d lo �ePiace puni�c omn�nv aamaged iM1ereby. <br /> DEPARTMENT APPROVALS i <br /> � <br /> / I <br /> i <br /> SEWER COM NICAiiONS I <br /> OIIAINAGE IRAf — � _--..._ <br /> ` �r'� = �� � �' � � <br /> RAiER PLP SIGN�iUf1E O�APPLICANi <br /> �l V %. �� .� � LI l✓'�.a <br /> sTnc[r AoonEss <br /> y�"; �yyy�J���' ,:-� �t��- � -- <br /> ��/���////cyy� crtv Ziv <br /> AP F Ri,ONSiPU I(� ES/ ` �`'— I/�J <br /> TEtEPNONE NUAIC[N ALIERNPfE � <br /> � �/7 --- <br /> APPflOVE�AS CONSTRUCiED UnTE Dn*E <br /> I <br /> � RG� E��GiJ(�L C.O!'Y <br /> I rce 1978 <br />