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�i eV� APPLICATION FOR RIGHT-OF-WAY USE PERMIT I�' <br /> Type or print clearly with mk � <br /> PRESS HARD - YOU ARE MAKING (:OPIES � <br /> PUBLIC WORKS �7 <br /> EVERETT,WASHINGTON PERMIT NO. v 2`r' <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: B'eN� YJ l!7 e,Z <br /> HEREBY APPLIES FOR PERMISSION TO �M�f(e� A �z F��h Fg,N C��'LLX�P�I .� FT <br /> � Ya _ � U r� �l/QL�` �{. �O �7`� � 79'7 �l Y /�r'f � �QfP/1 <br /> AT THE FOLLOWING LOCATION y9ys ��� �_��%Q.YC// <br /> DRAWING (WORK TO BE DO E) OR THREE PLANS ATTACHED: <br /> I <br /> ---i <br /> ��- � �) !. D� � sr <br /> 5 ,_ _ - - - - - -: fi <br /> , � 3� i I <br /> � � � � <br /> � t � <br /> J <br /> f <br /> � S (�� ryy�TfrtT��[ <br /> � v "� �AA\U1111A`Y] <br /> � S � Fenoe shall be no higher than 42". <br /> � p�cr• w r dy ..,a Fence�relocation shall be at Px�xtY <br /> ~ v. �. awner s �q�ense wt�en/if the Cic.i <br /> � o oonstructs sidewalks alrng fmntage. 4 <br /> S <br /> ' DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � I <br /> COPY OF THIS APPLICATION TO BE POSTED + i�� ��p � <br /> ON JOBSITE. <br /> CALL FI�R INSPECTION 259-881 1 I 30';,� ��,�30" <br /> 24 HOURS BEFORE CONSTRUCTION Tho undersignetl owner hereby a9reas to holtl entl save harmless <br /> the City ol Everelt imm any and all claims lor tlampges, cosls. <br /> expenses.or tPuses ol uclion Ihal may arise beceu$e ol mslalletion <br /> antl ma�nienance ol Ihe improvement or other ngM�obwey use I <br /> hereio aDPIieO lor antl lurl�cr agrCes to remove same upon ncl¢e <br /> Irom Ihe City antl Io replaCe pubht Oroperty Oamaged Ihere�y. � <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> ♦ <br /> ORAINAGE iRAiFIC ^ � <br /> {�/�"' <br /> WATER PLANNING SIGNATURF OF APFLICANi <br /> `19'`f S F��hi � <br /> STPEET AODRE55 <br /> � � Fi/Qr�TT '�... ,�, <br /> �,/a!/,.,.. /.��.7` /z -� - �o ur� ziP <br /> APPROVED OR CONST UCTION DATE a �G�„ O�Z � <br /> TELEPMONE NUMpER RLiERNAiE <br /> �l l z ° i/-�9-�0 � <br /> AP OVED AS CONSTRU ED OATE OAtE <br /> CONSTRUCTION/AS BUILI' ,E� �9�8 I <br /> . i <br /> � � i <br />