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. , <br /> , ' <br /> i <br /> �i everetl <br /> j � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or print clearly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO.�� <br /> APPLICANT (UNDERSIGN[D) AND FIRM REPRESENTED, IF ANY: �I��'f„ /--i C Ll S �L J'H I?���� ! �C • I <br /> HEREBY APPLIES FOR PERMISSION TO C N S !Z 4 C 2 U / �c V�G �/JQ/ vl�L� <br /> I `Uv � I� U1� 7 .l G �GA. rM.. I. O�b �+� ` �Yh �Klh �. r�nf/• <br /> AT THE FOLLOWING LOCATION � �' /� C YL S G C I'� V � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> - ! 2 " C'a�1C R �- T.c T/L� U/U ��k �leltJ.�l.C�f�l <br /> " F�,RM�9/�1r,v T d�l�l/J�=uJ�9Y �►�1 e nlle�l u /i( d�' <br /> k `� � l� s s �� " �gsP�/�� � v �t� iQ-�- t,� <br /> �:� <br /> - L ! D Co���v/9it/Z 1-!!�5 r$�Eitl �X�Cu TEI> -� <br /> r �. <br /> - Rcco�Os � �,�61GRr� sc"wFk �,3'��= Dcr�� z +- r3 -- <br /> �RoNt. �►-r��cJ Na�C �r c REs�irJr� TH�iyPsa�l - <br /> / � <br /> a ��GC <br /> %f �`",� <br /> ��� , <br /> �h � /�r� I� <br /> ���r.�,� ��O <br /> �� ce � <br /> � - _._. � 3i �o � <br /> � DRIVEWAY SECTION I <br /> 1VIiT� IS 9/ALID FOR 60 DA S � � �I <br /> i CO A POSTED + i" uP � � <br /> ON JOBS(TE. I <br /> CALL FOR INSPECTION 259-881 1 � ��'t 30" <br /> 24 HOURS BEFORE CONSTRUCTION 7he untlersignatl owner nereny ogrecs to no�a ond save narmiess �` <br /> t�e City ol EverM� Irom Ony antl all cloims lor dama9es, cosis. <br /> eapenses.or causes ol action t�at may anse because o�installation <br /> and mnmienenCe ol Ibe imprOvement or olhCr nghi�ol-way use <br /> :�erelo opphetl br ana IurNer agreos lo remove same u0on not¢e <br /> . , , . . ,Irom Ine Gty antl to replace vunhc v�overty damag�tl inereby. <br /> DEPARTMENT APPROVALS � <br /> N.flRR Y �. Sc ha rN � ka u) <br /> SEW[R COMMU CATiO ' <br /> ♦/ <br /> DFAIN E TR�� iC /�I����" ' � <br /> I <br /> i \VAT R PL NNINC, S�GN4� E OF A�n� .q <br /> ' >o ox / 5 �� <br /> � s �eer noon ss <br /> ���fn�s �%- c.�N• ��u� G <br /> , �� Z�P <br /> � A R EO F CONS U N DAiE '� S y+� �f �j � <br /> iELE�'HONE NUMpE� A�tEPNAlE <br /> ��� a _ <br /> ANVROVEDASCONSTRitC7E� o�:*[ cnrC <br />