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i - <br /> I <br /> � e��R i I <br /> � APPLICh�TION FOR RICaNT-OF-WAY USE PERMIT <br /> Type or print clearly wi�h ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PIiDLIC WORKS � <br /> EVERETT,WASHINGTON PERMIT NO. � ���� � <br /> I <br /> � APPLICANT(UNUERSIGNED)i.ND FIRM REPRESENTED. IF ANY: + / ' i/ t_ <br /> HEREBY APPLIES FOR PERMISS�CN TO ,�` ' �' '� —� �-- �r y�,� <br /> AT THE FOLLOWING LOCATION /U:.� G, % =�'1�1��..�::�J .�t.y� <br /> DRAWING (WORK TO BE DOHE) OR THREE PLANS ATTACHED• � �� �� <br /> ��5�5 c�� ���� c��-� . l�,�k��.� �_�,Q�� <br /> J <br /> C�,�� ��—� �(�yl.c� �� ��� ��`�� � <br /> 1 � I <br /> I �i L�.C-�Q'� � � � , <br /> /Y� �/�C!/E'�t d" ,�/m �/H2 S <br /> ✓ <br /> ��� 3l�-�d <br /> _ , <br /> r ��� <br /> -- DRIVEWAY SEC'iION <br /> PERMIT IS VALID FQR 60 DdYS � _ � <br /> COPY OF THIS APFLICATION TO BE POST�D t" LIP � <br /> ON JOBSITE. <br /> ' CALL FOR INSPECT.OfiV 259-88 W � ��..30" 30" <br /> 24 HOURS BEFORt CONSTRUCTION <br /> � The untlersigned owner hereby agrees �n holtl antl save harmless <br /> � Ine City ol Evme�t Irom nny antl all claims lor tlomages. cosls. <br /> � erpenses.or c;wses ol atlion I�a�may anse because el mslalln�mn <br /> I antl main�enanCe ol Ine imp�ovem�nt or �,pier nght�of-way use <br /> �erelo apP��e�br antl lurtner agiees m ren�ove same v0on noi¢e <br /> ', Irom I�e Ctly antl lo replace publ¢ prop^ny Aamage0 thereby. <br /> � DEPARTMENT APPROVALS <br /> � <br /> SFWER COMM1IUNi[nilONS <br /> OPAiNAGE TRAfFlC � <br /> ,� ,� � ��(: <br /> WATER PLAIrt�iNG SiQNATURE O[APPLICFNi <br /> /�) i{ IC) �n� ^)--`�i� !� �//: <br /> STREET BOONE55 ��� <br /> � C ♦ <br /> / <br /> GI V" �' �l � ZA—m h f <br /> APPPOVED FOR GONSTaUCilO� onTE f �'L I J 'L� <br /> , <br /> iELEP�iONE NUMOER AUEPNAIE <br /> I <br /> IAVpROVED AS CONSTRUCTED DAtE DniE <br /> j . �. "'',LI.�'..�. .. . , � . ' - � ' � . ' <<r —_—_' 1978 <br />