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i .�� <br /> �, <br /> Ieve.en _ <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or print clea�ly with mk <br /> PRESS HARD - YOU ARE MAK�NG COPIES <br /> PUBIIC WORKS <br /> EVERETT, WASHINGTON <br /> PERMIT NO. i - <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:�py�M ��1� ��A1 t�//� . <br /> HEREBY APPUES FOR PERMISSION TO �JC M aL S t� C/1('``�I r— � �,,,�,[—/�c c r ,VE .,� C, A�' q oC <br /> � <br /> _� �,�r���l.: , Fnn '� SC"r�tr� G �cM <br /> AT THE FOLLOWING LOCATION C-�nG C TUr •/h) ,�? � �/L � {�-. _ �� ��� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: ! <br /> I <br /> (�10 � a�e../� �r�o �o �e,�,S . <br /> <— . — <br /> �-x l5 T� � � �r,,.. e,.,,c.^ �--. <br /> � 'Z�w �S �n,. e�/ � <br /> 1�o �-��r o � �,c,�e�.,.G l ks 2 x i s �-- <br /> �v. � iS arec.,_ <br /> I <br /> �� II 't✓ � ' I � - � <br /> ,J� ��\s'Q�K - <br /> � � <br /> '� I <br /> i <br /> � <br /> � ' <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED + P' LIP <br /> I ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 � 3o'_I_ �30",,� <br /> 24 HOURS BEFORE ;:ONSTRUCTION <br /> The untlersignetl owner hereby agrees to�oIC antl save�nrmless <br /> Ihe City ol Everett Imm any untl oll claims lor tlamages, cosls. <br /> �� expenses.or teuses ol ettion t�ot may anse Octause oi mstallauon <br /> � antl mainienan�e ol Ihe improvement or olher ngn4ol-way usc <br /> hereio apP��etl lor ana Iurlher agrce5 Io remOve Same upon noh[c <br /> � DEPARTMENT APPROVALS �rom me Cny antl to reDlace Oublic properly Gamaged InereOy <br /> SEWER ;OMAIU iCATONS <br /> �'�� 11 ��� � � �� �� ��.� � � 1 <br /> DFAINAGE � "�Q TqqFf <br /> ��� I�u-, -�, �. <br /> � �YATER .... ���f PLANNING SIGNATU OiAPP �CANi <br /> oee� �s ,-. . / 'I q <br /> STREEi .... ._'.!•_,—. .•.•• - 1 U'l I O - 7�� 2cI/11IC S � <br /> -' � =10 YTIa nooaess <br /> /J -fT/�33�� -i;�,9 (� Mor•�Qor_ 973z7z <br /> � �._ticLL�{, ✓ �� 0��8�� CIiY ZiP <br /> APPROVEDFOACONSIRUCTION T pqE ���/. .,��Ll <br /> � / <br /> I TELEPMOYE NUMBEH pUERNATE <br /> f PPROVED AS CONSTRUCTED � _ �_ �� <br /> I OAIP DATE " - <br /> � INITI/tL INSPFCTICN 1;6C�U�STED <<< I <br /> 19i8 <br />