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i, — — I <br /> � ; <br /> � I <br /> everetl <br /> � � APFLICATION FOR FtiGHT-OF-WAY USE PERMIT <br /> Type or print clearly with mk �' <br /> � PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS � � 8 ,q � <br /> EVERETT,WASHINGTON � PERMIT NO. <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENT[D, IF ANY: DWE�L/���j — `��L N� �D�Y�I C�fl//�. <br /> HEREBY APPLIES FOR PERMISS�ON TO ���� {��G��n�� �✓�II��L(��� TJ �Y�C���' <br /> AT THE FOLLOWING l.GI:ATION '�� �l��l� "'�' C ����� <br /> DRAWING (WURK TO BE DONE) OR THREE PLANS ATTACHED: <br /> �� �' �-�.ts� ��r, ,� ,,, <br /> �- . �� p � ;,/ <br /> �`,��' ' r I,° '�' �� ' <br /> G� ' � p � � �1 � <br /> ,•�;� ; , <br /> `1J�` 1�� i." / � ( l � ( <br /> _ ,�. i�'� <br /> �(� i ,/ �.- � �� 1 �� . ��. <br /> r <br /> � � ,� a � r er,' <br /> ,- I � <br /> � � I <br /> ;--/_� � ,,,� � <br /> ; <br /> . � , , <br /> , <br /> I � DRIVEWAY SECTION i <br /> � PERMIT IS VALID FOR 60 DAYS {� -� <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED � i" LIP <br /> CN JOBSITE. I 30" I I 30" � I <br /> � CALL FOR INSPECT'ION 259-881 1 I' 'i' '� � <br /> 24 HOURS BEFORE CONSTRUCTION The undersignetl owner hereby ngrees ta hold end save harmless <br /> Ine City ol Everell I�om any and all claims lor demeges. costs, <br /> ezpenses,or causes ol aclio�Ihat mny arise beceuse ol ins�xllat�on <br /> antl maintenance o7 ihe �mprovemem or olher n9h4obwny use <br /> bereto appbeC br antl lunher agrees to�emove same upon notice <br /> Imm Ihe Ciiy antl lo replace public p�operly Anmagetl inereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICRTIONS V � '�+ � � ;� � n <br /> . C! v <br /> / <br /> DRAINAGE TRArFlC 1-� J/� <br /> .':iVY/LOu ��. f�rl�Cl,t'[.�f�_ <br /> WATER PLRNNING SIGNATUNEOF/�'PLi ANI�. . , <br /> /��/ .;�'�'I_ <br /> ��a .. ..._.._. <br /> sraeer _ noonEss . _.450 2N W �ild � / <br /> � � �/ � 1!�J(E%%� i. �. U9 ��`O <br /> CITY��/ ZIP <br /> VED FO fl I 0/•1E p7C.�J' .r�ry.��j <br /> II l � / tELE�'MON[NUf.1p[II �l1EBN<iE <br /> , rt l � , , , ' <br /> .�. , � <br /> __ ;� __ � <br />