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I everetl � <br /> � Q APPUCATION FOR RIGHT-OF-WAY USE PERMIT i <br /> I � Type or print cleady with mk � <br /> PRESS HARD - YOU ARE MAKING COPIES I <br /> PUBLIC WORKS �� ZS CJ <br /> EVERETT.WASHINGTON PERMIT NO.— <br /> • �y�/�'y _�U�? c i <br /> APPLICANT (UNDERSIGNED)AND FIRM FEPRESENTED, IF ANY: — I <br /> � <br /> HEREBY APPLIES FOR PERMISSION TO �� �� � <br /> B��+2�1/�=� G�/���-e` <br /> .� / O Z (,e�/��/L2� <br /> AT THE FOLLOWING IOCATION <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> �j � qgg r� FooTr�UC,r$ AL2E�{p�/ '/�o(J2G-ll �UoRK- l-Ih-S <br /> � <br /> $E�tu►� u�lo �PE fZM �"C� <br /> � <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID POR 60 DAYS {.�— —� <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTEO � � i" LIP <br /> ON JOBSITE. 30�� �T�3_0'� <br /> CALL FOR INSPECTION 259-681 1 <br /> 24 HOURS BEFORE CONSTRUCTION 7he undersignetl owner hereby ngrees lo holtl and seve harmless <br /> Ihe City ol Everetl Irom any end ell claims lor tlemages. cosls, <br /> e.penses.or causes ol action t�al may arise because ol installalion <br /> dntl mTin�CnNnCC OI Ihe implOv¢mfnl Of OIhCf f�ghP0l�wAy USC I <br /> herelo apP��etl b�and Iuriner agrecs lo remove same u0on nat¢e <br /> Irom Ihe Ciiy an0 Io replate pu�h[ proper�y Q:Imaged �nereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRI�NAGE TRAFFlC " --� <br /> WATER PLANNING SIGN TUH�OL . ICAN � � <br /> / <br /> STREET .—' .. . . . A � S . C/� <br /> j 1 �I \ <br /> 1: � T � <br /> / ,•C , `I I �', . , � _ '; '�Z-� <br /> ,� � i ZIP <br /> i <br /> A RO 'O R I'IS C OnTE � � / �5 ��� � � I <br /> ' " iELEPMONE NUhI -R� ALTERNFIE <br /> � iBF.i t=� ��'� -- <br /> � .2 7 i <br /> AP D A$CO ED._... � � oArE D E ' <br /> � ;��a%`:!l_i I:! 'i-:1;, <br /> i���� ; .,, , _'GONSTRUCTION/AS �UILT vEe 1978 <br />