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i - . - � <br /> everetl <br /> � APPLIrATION FOR RIGHT-Of-UYAY USE PERMIT <br /> � Type or print clearly with ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS ;�'/ '_ . } <br /> EVERETT,WASHINGTON PERMIT NO. / �' " ` <br /> / <br /> APPL!CANT (UNDERSIGNED)ANO FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO _ <br /> � '_ <br /> AT THE FOLIOWING LOCATION J � �� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> o� /y�2�i �l� � �0-4�,�a , �, <br /> ��yg/ � ��ec.� <br /> �� c�, <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED � i^ ��p � <br /> ON JOBSITE. <br /> I_3a" I I 30" I <br /> CALL FOR INSPECTION 259-661 1 r r 'r• 'i <br /> 24 HCURS BEFORE CONSTRUCTION 7�o un0ersigne0 awner hereby e9rees to hold antl save harmless <br /> Ihe City o� Everett Irom any and all cleims br Oamages, cosis, <br /> eMpenses,or tauses o�acGon Ihat may anse�ecause ol mstallaiwn <br /> and mainienance o� !he improvement or olher righ4ol-way use <br /> hereio applietl lor and�urlher agrees lo remove same upon nobce � <br /> Irom Ine Cny and lo replace pubbc Moperty aamagetl lnereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNILn�lONS . <br /> / ! / '•,) //;� <br /> ORr11NAGE TPAFFlL �� <br /> � � <br /> .. � J' -� ��� . <br /> Wr1TER PLANNING SIGN ipRE OF ,�IC�N � � <br /> �i^ � . -- ' ��� r /�i ...!. �i�.� ..���/ � '� ---_-�� <br /> STREET ; " G� . . � :_ . A �RESS / <br /> . �/ �,� \ <br /> t ,� � r'`�7`.�—�_�.C�'�S%l �CJ�iG��''L <br /> C z�P <br /> APPROVEO FOP CONS RUCTION ' DnrE -� S � ' rj � � � <br /> �...... . . ._... <br /> TELEPHON[kUMBEB Nt*ERNAIE <br /> i 1 �/ i y� �� i . <br /> APPROVE�AS CONSTRUCTED i onTE DA�E i ' <br /> INITIAL INSPECTION REQUFSTED �ee �g78 <br />