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_ � .�. _ <br /> I _ . _ <br /> ; everett <br /> � � APPLICRTlON FOR RIGHT-4F-WAY USE PERMIT ';I <br /> Type or print clearly with mh <br /> PRESS HARD - YOU ARE MAKING COPIES � <br /> ' PUBLIC WORKS <br /> � EVERETT, WASHINGTON PERMIT NO. �/ �O i <br /> iAPPLICANT (UNDERSIGNED)AND FIRM REPRESENTED. IF ANY: '�`��Q `'�/eQ �/�/ I <br /> �� HEREBY APPLIES FOR PEBMISSION TO G�ti�-�7�. �Zr �T C C.kiG J�/(�J I ` <br /> � /! A r <br /> I-vYT i+t1�Z <br /> � AT THE FOLLOWING LOCATION I7I G I�O�� / /�iJ G� i <br /> J ` <br /> I DRAWING (WORK TU BE DONE) OR THREE PLANS ATTACHED: I, <br /> , I <br /> //Pi��°/J 1/���O�ie ��✓i3C�S c��1.f.�.' I <br /> i <br /> � <br /> i "/z��� ! <br /> � <br /> .i��/, �n � � � <br /> � ` �1 ` �� � �Ll"�� ��� ' J � �./�.A�� (,��,.�J-�� I <br /> I �� y..,_ � <br /> I �� <br /> � � �� .�� �P ��� pa� -��� <br /> � <br /> , ��, �' <br /> , � �, — � <br /> : � �'-c� - 3�17 �L <br /> � <br /> � ��� ��� <br /> , <br /> , <br /> � <br /> i <br /> ; <br /> � <br /> DRIVEWAY SECTION <br /> � PERMIT IS VALID FOR 60 DAYS <br /> i �— ---� <br /> COPY OF THIS APPLICATION TO BE PO5TED r� t — —�l <br /> j ON JOBSITE. i" LIP <br /> CALL FOR INSPECTION 259-881 1 �30��-- –__�„30" <br /> I 24 HOURS BEFORE CONSTRUCTION <br /> The untlerslgnetl owner hereby ngrees lo hold antl save�armless <br /> i Il�e Gly oi Everetl Irom any and all claims lo� tlamages. cosis � <br /> r.penses,or eauses oi aclmn Ihai mdy anse DeWuse ol installalion <br /> � anJ mdm�CnanGe 01 �M1C vnpmvemenl or oiher riqh�-pl-way uso <br /> � Pc�elo apV��etl lo�ano W�Iher agrees lo remove snmc upon nobcc <br /> � �rom I�e Cdy antl lo replacc publi� pioV�'�N tlaniage0 �berepy_ <br /> i DEPARTMENT APPROVAL� <br /> _ � '�� tF' /y��-r _. <br /> / SE.QA�//�•v i <br /> ! 52v+EF COMI UNiCRiiONS /�- v G I J� IUQ — �cq.1(�- __� <br /> ORAMAGE �RqiFlC 7 � _ <br /> '. _ � /,`�Q�'O i `�f � .�� � <br /> WATCR ! Pln G SiGN/,niW�EOfaPT�uf,ah -'^� ' . <br /> ¢,(� // /— // J - � <br /> � STHEE�— '--_ �`�--.�K-�� /� r�i�n T .– <br /> PDDAESS �'r"^�—� <br /> C�� �� 3 -`3//� E/�E+C�ETT — I'ff/9.r�� ��a�3. <br /> nrv z,v <br /> APPROV D FOR CONSTHUCT' tE Y �� �s3 -S/.Sa — . <br /> �EL[PHJ rvL11.IpEP AILCRN/.t[ <br /> �. /�i '7 % -- <br /> n�Paoveonscorasir�ucrEn-- oa,e oA.E -- � <br /> C'ONSTRUC"�IOf,�!AS 'Ull.l' ,�E <br /> 7978 <br />