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i <br /> �, <br /> � i <br /> .1'` � <br /> everett I <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT � <br /> v Typo or print clearly wilh mk I <br /> PRFSS HARD - YOU ARE MAKING COPIES " I <br /> PUBLIC WORKS I <br /> EVERETT,WASHINGTON PERMIT NO. ���_ <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANV:��, ��1,��(�2� �f , <br /> T� I <br /> HEREBY APPLIES FOR PERMISSION TO IJEr"1�Cf S fa C/12�iCZ � CONS� /2l.��7 A/EW (= iQ/1�Q oE <br /> � FAM�i�.ce PM � SE(w�IN C. Q� <br /> ATTHEFOLLOWINGLOCATION ��2 CI�OWN �2� �/� �t�E(��TT �/A <br /> I <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: I <br /> I <br /> I <br /> I <br /> r�- <br /> � <br /> I <br /> I <br /> I <br /> i <br /> � <br /> . I <br /> � I <br /> i <br /> I <br /> I <br /> I � <br /> � <br /> I I <br /> � DRIVEWAY SECTION � <br /> PERMIT IS VALID FOR 60 DAYS {� � I <br /> I <br /> � COPY OF THIS APPLICATION TO BE POSTED + i" LIP �� <br /> � ON JOBSITE. i <br /> � CALL FOR INSPECTION 259-881 1 �30�� .__„��30" <br /> i 24 NOURS BEFORE CONSTRUCTION The undersigned owner hereb � <br /> y ar�rees lo holtl ana snve hurmless <br /> i Ihe City o� Everetl irom eny antl all cloims lor Oamages. costs. <br /> expr.n5es.or cuuses ol action t�at may erae because cl installation <br /> antl maintenance ol Ihe improvemenl or other righl-ol�way use <br /> ihereio applied lor anA Iwiher qgrces to remove same upon nol¢c � <br /> IDEPARTMENT APPROVALS 1rom �he C�ry antl �o repiace pubbc O�operty tlamage0 �hereby. II <br /> SEWER COMRNNILATIONS ��\\ I <br /> DNAINAGE TR�FRC � Y- IJ�+�.� I <br /> \VATER PL�NNINO $I�U .Of APPLICANL ^ <br /> I STREET � �a� IO � Z����/7✓E S� G. . <br /> ADDRE55 I <br /> y�7.� MoN�oc 9�3z �z <br /> ���. /�J.n.�� r4/����QO an :n� .. <br /> APPROVED FO CONS RUCTION o E �C,�./- �zf(/ <br /> -! J 7 <br /> � iE�Ev��nr�E Nui.�oEn .�.i ti�r�ni[ <br /> I � - ��7�/ 8 " 7- rdc� �p�, '� <br /> I APPqOVED AS CONSTRUCTEO Uni[ pqiE I <br /> I c�-�fJ:STRUCI"IO�!',1S F�UILT - •� "' � <br /> �ri_ <br />