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everen <br /> I Q APPUCATI4N FOR RIGHT-OF-WAY USE PERMIT <br /> j � �. Type or print cleady wrth mk � � <br /> I <br /> II �� ���.PRESS HARD - YOU ARE AIAKING COPIES I <br /> PUBLIC WORKS p ' <br /> EVERETT,WASHINGTON PERMIT NO.Q� � I, <br /> IAPPLICANT (UNDERSIGNED) AND FIRM flEPRESENTED, IF ANY: ��'vY��« ���_ I <br /> � ' I , I <br /> I HEREBY APPLIES FOR PERM�SSION TO ����� �C�'c �/'1� � '^� <br /> ��.c�rr✓� Ty�c .G�-�J�� <br /> .�TTHEFOLLOWINGLOCATICN_�.. ^��� �" — � �T�_ �vC <br /> /!?/C C E�—�Jrs2 — 7Y0� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED. �/ <br /> � U <br /> ,c� <br /> . ��� <br /> LL ry <br /> � � � � <br /> ,, � Y <br /> � ��`�� o <br /> � I <br /> � �ao <br /> � <br /> ,� <br /> N / <br /> ��E�or �� �L'r��� � <br /> . ��r, <br /> � <br /> C�/Zr T% /91/� _ <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � --� <br /> COPY OF THIS APPLICATION TO BE POSTED + i" LIP <br /> ON JOBSITE. I 30' I .�-.r30��� <br /> CALL FOifi INSPECTION 259-881 1 I� `t' <br /> 24 HOURS BEFORE CONSTRUCTION The untlonigned owner nereny ae�ees to ho10 and seve hermless <br /> the City ol Everett Irom any en0 all claims lor demages, costs. <br /> eKpenses.or causes ol action thet may ense beceuso ol ms�ailetion <br /> S <br /> an0 mami^nance ol Ihe imOroveme�l or other ngh�-o-way use <br /> herelo appbed br and�urther agrees lo remave same upon netite <br /> Irom Ihe Ciiy antl lo �e0�ace pubhc property Oamaged ihereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS � , <br /> ORAINAGE TRALFlL - <br /> �yq7Eq PIANNING SIGNATURE Of RPFUCANT <br /> ADDRE55 <br /> StREFT <br /> S /��{�j CITY ZIP <br /> ,� ..� �_. <br /> RO O F CON CTION OnTE " <br /> �!///// TELEPMONE NUMBER A�1E�NAiE <br /> ��-t�' / //�L� • �.l��_�j <br /> PROVED AS CONSTRU 'O DATE oArE <br /> CONSTRUCTION/AS BUILT ,t� 1978 <br />