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, , <br /> � `�^ <br /> evereM I <br /> I Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> �;' Type or print clearly with ink <br /> . PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS -7 <br /> EVERETT,WASHINGTON PERMIT NO. /�../f Z,� <br /> APPLICANT�UNDERSIGNED�ANDFIRMREPRESE/NTED, IFANY: �a'h��'N. �`� �M� c+y. e ,S �r�G . <br /> HEREBY hPPLIES FOR PERMISSION TO � N S��CL � O ' ( iU N GA�rc � <br /> _ /c��C. W G� <br /> AT THE FOLLOWING LOCATION �'Z� � C../C �.fC�N� /7l�G.` <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> i <br /> /' fU�/ L�c�`-�/G� <br /> ��� JZII V ��C /J�2�� <br /> i � � <br /> r�� / <br /> I ' � '� <br /> i �`3//� � . <br /> ' �� <br /> , <br /> - I <br /> � DRIVEWAY SECTION ; <br /> ERMIT IS VALID FOR 60 DAYS � � <br /> COPY OSTED i" LIF <br /> ON JOBSITE. 30" L ( 30" � <br /> CALL FOR INSPECTION 259-SA 1 1 � ' -•1•� <br /> 24 HOURS BEFORE CONSTRUCTION <br /> TAc untlersigneU owner hareby ngrees to holtl and seve hermless � <br /> Ihe City ol Everetl Irom any untl all claims for tlemxges, costs. <br /> eapenses.or causes ol aclion Ihal.'nay arise�ecauso ol installatwn <br /> and momtcnance ol Ihe improvement or olher righl�ol-way use <br /> herelo af0��ed lOr nntl IurIR r agree5 lo remove Same upon nolice • <br /> Irom Ihe City_and Io�repince puDl¢ d�openy tlamageC Ihere�y, <br /> DEPARTMENT APPROVALS " ' <br /> SEWEP COMAIUNICAti <br /> \ <br /> � <br /> DRAINAGE TqqFFIC . <br /> I � <br /> WATER PLANNING 51 q E OF CANL <br /> _o. 3ox / 9 <br /> STREET . AO�RE55 <br /> . � �,-�S� Z�ti• 9�z.oG <br /> CI Y j�p <br /> I APP VED FOR CONSTRUC�ON DArE <br /> 1ELEPNONE NU6�00� ALIERNAiE <br /> APPFOVED AS CONSTflUCiED DntE DA�E — <br /> i <br /> � CONSTRUCTION/ASBUILT �ee ' 1978 <br /> _ <br />