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, <br /> � - <br /> i <br /> verett <br /> APPLICATION FOR RIGHT-OF-VVAY USE PERMIT <br /> � TYPe or print clearly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC\VORKS `� <br /> EVEHETT,WASHINGTON PERMIT NO. <br /> APPLICANT (UNPERSIGNED) AND FIRM REPRESENTED, IF ANY: V//�C-//�Il /-4 / OnS A') D <br /> 1 �' <br /> HEREBY APPLI�S FOR PERMISSION TO ��F ON TV r/�� C�T/G S E X lST/�G �Z D�7Al A� <br /> L �/ <br /> AT�HE FOLLO ING LOCATION A9/v �✓��/�`s v�`� P�'�G�� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> MRKc Co�I�tJGcz/o��- To Cs� r�°lG ,BfIS��U u!! t/f CoiJCJ2L T�= <br /> � P�6'.�. . <br /> R�M,p 1/�E /��P1/}C�E T/fipT��T60f(1 OF' �/fF ,�Rl!ICl�tJJt'�' <br /> �N� S r D r w A[,� �/�e�ssfi'.P.% 7� �,f�,E'G'a�ckJt� 7'Td� <br /> I � <br /> � . <br /> li <br /> � <br /> � <br /> I <br /> I N�T,]E : q � I <br /> r' S I'lCv ��C.: i� /Jro55d✓� Y3�{VOS I <br /> I l <br /> 8za <br /> I ti. <br /> DRIVEWQY SECTiON � <br /> I PERMIT IS VALID FOR 60 DAVS <br /> . � � <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP � <br /> � ON JOBSITE. �30'1 � �_� 30" i <br /> I CALL FOR INSPECTION 259-681 1 't� � <br /> 24 HOURS BEFORE CONSTRUCTION The unEersignetl owner heraby agrees to holtl end seve narm�ess <br /> I Ine City o� Everett Imm any en0 all claims br dameges. costs. <br /> expenses.or causes ot action that may arise because ol installation <br /> anA mainienance ol Ihe impmvemen� or other righbol-way use <br /> i herelo app��eU br an0 Wrther agrees to remove S:�me upon nObce <br /> Irom Ihe City and lo rephce puDhc Oroperty Camagetl tltereby. <br /> DEPARTMENT APPROVALS <br /> SF.WER COMMUNiLAT�ON$ 'G' s <br /> ORAINFGE TRAFFlC �r�� <br /> WATER ;'LANNING SIiNAi 1 INis d '/� � ' �/S <br /> 01-���'' ��" 'z • I <br /> �ODRE59� �y%I�� 7Q �' �� <br /> STREET m����7 Lc%� �-�I�c I <br /> / /3 ��r� �r?s � Z�P <br /> APP OV�OR CONSTR TION ontE ��—�—� I <br /> —� '� / � TELEPHONE NUMO� ALTERNnTE <br /> ,l - �/ - � ' �'8 <br /> App�y� DATE pATF <br /> I � `� CONSTRUCTION/ASBUILT ��/� ���� �978 <br />