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` <br /> :� ; i <br /> . � ;, <br /> ��� everetl I�I <br /> � APPLICATION FOR RIGHT-OF-WAY USE PE�iMIT i <br /> Type or pnnt clearry with mk <br /> PRESS HARD - YOU ARE MAKIhG COPIES �I <br /> I PUBLIC WORKS '� <br /> �, EVERETT.WASHINGTON PERMIT NO.%T ' <br /> � tte+wl��� �� Ui�•��_._. _, . . ._ _� . _-�.;.:_._- ,T , _._ -��-�:c�.�H- li <br /> �I APPLICANT (UNDERSIGNED)AND FlRM REPRESENTED, IF ANY: F - - <br /> i <br /> �I HEREBY APPLIES FOR PERMISSION TO i^ t -�`�- �'�"'� 1�.`•'" - '•����- "� ` ` ' � � - - I <br /> �i AT THE FOLLOWING LOCATION � _" �-'-� '�`��� — I <br /> i <br /> I j <br /> I� DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: �li <br /> ';___ � - � I <br /> lii I � 4+0 Q rtA.�rl R�- �_ <br /> i VLGi.J 2 �e v�2 w � '� <br /> . � ' j <br /> � • OwU` � p� I,I i <br /> r (� <br /> i� `v-�2� �,ti..,P ro v e w.e� /� re � w v+c. e J� ; <br /> � I . �) � <br /> � d(A.MaSa p�ah � � un�'LecX <br /> ! `� <br /> I � � <br /> � /�G�'/��'S /1�G/t� },, . � <br /> f� S�/�f� ,P�l/�� ✓ � � <br /> � � <br /> � <br /> il ���� <br /> � � <br /> ,. � <br /> �� il . , <br /> ' � I <br /> DRIVEWAY SECTION <br /> i <br /> �� PERIWIIT f� VALID FOR 60 �AYS � —� <br /> �j COPY OF THIS APPLICATION i 0 BE POSTED i" LIP <br />, � '� ON JOBSITE. �.gp��j _�_30" <br /> I CALL Ft�R INSPECTIUN 259-8E�t 1 7 '�' <br /> i24 HOURS BEFORE CONSTRUCTION ipe undersignetl owncr �ereDy agrees to�oIG enG save�armless <br /> I Ihr Cily ot Evereti Irom nny antl .II claims tor damages. <osts. � <br /> c.penses.or causes ol aclion Ihat may anse because ol instaiiabon <br /> anrl mainlcndnCe ol ihe imp�wemcni o� olhc� rrghi-ol-way usc <br /> , berelo app�ied lor anC furlher agrees to�emove same upun nobce <br /> IrOm Ih[ C�ly and lo ieplP,co pu0hc O�Operiy tla��'lye� I�ewby. I <br /> { DEPARTMENT APPROVALS , _ <br /> �i � :°; '''� �' ; � - <br /> � t�I �J �i YI �..' c�.t �.� <br /> � SEWE� COMMUNiCFTi0N5 �_i�.� <br /> 7 <br /> � ONAINn3E TPPFFIC � '. ' � m' � �It!�-t 1•` CANi ( � � DOLI •M f �'1` <br /> �T' � <br /> � Jl�,. <br /> I ���I z ���. �. , • <br /> , _ .� ��z f� � <br /> WATER vL�NNiNG SiGNATUREOV .. -.... ....•• <br /> udLr^.� ;, -r, tAk"t L�i i � \`'�.�t� �0 ,.-fi;l <br /> staee* --� nooncss ..��t, . — <br /> _...._.--. :`I2;k"W�„ <br /> •.t,.�:�+�k. - -- <br /> 7?Trfls�.: ��, � Z,o <br /> , . , <br /> APPROVED FOR CONSTHUCTION DFiE '���'•- / . . ' 3�'i�i "if(L'? •__ <br /> 1E�EVHONE rvuMeEa a�rEnHnit <br /> i /� \ A•.R.r-' 1 ����-1 �t. _..___— _ <br /> APPflOVEO nS CONSTRt1CTE0 o^TE �^'` <br /> _. —__— <br /> , . . . ... . —j� - . , . ._;_ , <br /> ----------- 7 978 <br /> � . <br />