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� �s3o <br /> I � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cleady with mk <br /> PRESS HARD-YOU ARE MAKING COPIES <br /> p auC wORKs PERMIT NO. '� <br /> EVERETT,aIASHINGTON <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED,If ANY: <br /> HEREBY APPLIES FOR PERIASSION TO //VS�LI 7iJ �U'�-� <br /> � 2 <br /> Z� <br /> Pr�z�f/.1�.. 4'8�o <br /> AT THE FOLIOWING LOCATI �' <br /> DRAWING (WORK TO BE E) OR THREE PLANS ATTACHED: <br /> l'C�N����ip�S '. <br /> 1 . 11\/1� Jo,e—iuiJ O� Dr2�J�i�J�t*� Gv�-'� ' N <br /> � to <br /> �i��IT vP <br /> w�y ✓t,us� �3�= , n�. , <br /> ic.00�= Jcw� 0/1F1��+� /�rzr• ;z� r34-- <br /> � Z TI�?I�li LiN� J ib J.27 W✓.LLS � �v <br /> S I�LrI`S�+ PiLOL KS> . ;,% ' �� • <br /> �� � v�r- � / <br /> , �,rr <br /> , �. <br /> ; <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � ---� <br /> COPY OF THIS APPLICATION TO BE POSTED �+i" LIP <br /> ON JOBSITE. �„30„ I _L30" <br /> CALL FOR INSPECTION 259-8B 1 1 <br /> I 24 HOURS BEFORE CONSTRUCTION Tho untlorsigne0 ownon c��eby ngrees to holo end seva hermless <br /> Ihe City ol Everell Irom any enE nll cloims lor demeges. costs, <br /> I eepenses.or couses ol ection IOaI mny arise Oecause ol instellotion <br /> anA mnmicnnnce ol Ihe imp oveme�t or other nghbol-way use <br /> nmeto eppliM�o�antl Wrmer igrecs to re er�t caama ed�membe <br /> Imm tbe Ci1y antl to replace pu�lic prop Y 9 Y <br /> DEPARTMENT APPROVALS <br /> SEW�� COMMUNICFTi0N5 <br /> DRP�NRGE TRhfHL <br /> �""1 SIGNPIURE O�AP{'LICFNI <br /> WPTER . �LAN�IING r .. � / <br /> i! ' � 9a /U 7 wv_., <br /> —� ADDn 5� `Y�- 7 �`(J? <br /> STlIEET ` `� <br /> / ' .�r � �j� cnr nr <br /> � pPPR ED O O ST UCTION . ... �` . � � � _ ���� <br /> IELENHONL NUMOER 4LIERNRIE <br /> � � �. , � i t� � / � ��� ' �/ <br /> . Y i <br /> pVPROVEDA5CON5TflUC E) <br /> OA E ORIE <br /> CONSTRUCTION/AB BUILT �E� 1978 <br />