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_ f . . . .-_... ' <br /> ��«en APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � TYPe or prin�clearly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS PERMIT NO. 3� <br /> EVERETT,WASHINGTON , <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: V/�'G/N I A FOnS�vZ,fJ <br /> HEREBY APPLIES FOR PERMISSION TO Tl� OM %J TI�/G G/T/ES E"'S 'Ti N G /D � D/G=r i N � /'V- <br /> � - <br /> AT THE�FOLLOWING.LQGAj,jO� �Y , � I���S d/�/ P�– L � <br /> � G . �. <br /> DRAWING (ORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> MaKC co�n�F�rid�c� To c�r �� t� �6As��J u��z� ca �1���z�� <br /> P�P�. <br /> REMd��`��'�"�•�h'�� Tf1ATR�'T�d•r1 oF ThcSib�r.rJ���e� <br /> C u/�B f�u7T'E� N�eEss�9k� Td/►�fl�C'oit/�¢!�T/d� <br /> I <br /> 1 <br /> JI <br /> J <br />� ' N't,� Gbc, l C3i�Ss�r� �•"�ves� <br />� r�s r�" <br /> IDRIVEWAY SECTION <br /> I PERMIT IS VALID �:JR 60 DAYS I. —� I <br /> I COP`! OF THIS APPLICATION TO BE POSTED t" uP I <br /> ON JOBSITE. 30" <br />'' CALL FOR INSPECTION 259-881 1 �30'�, . <br />,I 24 FfOURS BEFORE CONSTRUCTION 7ho undersignetl owner hereby egrees to holtl entl save�nrmless I '-� <br /> Ihe Cily ol Everelt Irom any antl nll claims lor dxmages, custs. � <br />'� eKpenses.or cnuses a1 action Ihat mny arise becnuse ol mstallntion i <br /> antl mm�tenance 0� IhC improvemeni or oiher nghbo4way use <br /> herelo apphed lor antl Iuriher agrces 10 removc snme upon nonce i <br /> Imm Ihe CM1y and 10 replace public ��operty dnmaged Ihe.e�y. <br /> DEPARTMENT APPROVALS • <br /> SEWER COMUUNILATIONS <br />� py� I <br /> I DRNINPGE TRAFFlC . _L� <br /> Cv <br /> I WATER �LANNING $IGNRTU� F APPLICANT <br /> /7'3o O /.3.3����i �//S <br /> nooaess ��/� �� � <br /> srneer �I,f_ D <br /> /l � <br /> . CIiV � J'/O Z�P <br /> � „JTO <br /> APPROVEDFOR LONSTRUCiION OAtE <br /> � TELEPHONE N�IMB[� 4LIENNATE <br /> �-----� /i- G -_7 �' I <br /> �,-„� <br /> „� I ,\'-`�'NO , t'CONn•H�- .:�,L`,' .., I�r•l _ _— / _._— <br />