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. - �� '; . '. <br /> - , <br /> evereM <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT � <br /> Type or pdnt clearly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINOTON PERMIT NO. � <br /> APPLICANT (UNDERSIONED)AND FIRM REPRESENTED, 1�ANY: �'c��vp�L� �� . <br /> HEREBV APPLIES FOR PERMISSION TO �� s '�a�-� ���� J. � � O/ �Ei. <br /> Ci`�o� a �"�/ 4�/�.ta . <br /> f-v <br /> AT THE FOLLOWING LOCATION I D D� ,/—��+� S� • `�_� /d T��`' �/ � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS A CHED: <br /> �� ,�� � �'�'�y�s <br /> ; <br /> � <br /> .�._.__._ ._. � : � <br /> . � ; <br /> �� <br /> y, <br /> ��� <br /> ��r� <br /> �: <br /> ;` t; ' ,' 11�.i � n ,; �{ m]� � �, <br /> �_ „',: ,t�°; � <br /> � : D�_C ?1 147c1 <br /> �- <br /> f : <br /> � <br /> . ....__............__..._ � <br /> -^��`� ' 1!f�M' �E�/E7RETT. ' <br /> ` ,g�,ak wor►< '�eot. <br /> PtRMIT 1! V�LID ROR 60 DAVS � _ � <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP j <br /> ON JOBSITE. I_30" I + ao" � ` <br /> CALL FOR INSPtCT10N �s9—e61 t r •r• • ' • <br /> 24 HOURS BEFORE CONSTRUCTION 7pa undenlpnad owner MroEy epren to IrolO enC uw��rmNu <br /> . � . t�e City ol Evarctl Irom eny �nE ell claime lor Wm�gea, coete. <br /> eapenssa.or c�uaea ol action t��t may eri�e Mcauw ol inslelleuon i <br /> en0 m�inteneMe ol Ihe improvemenl or otMr riph!•ol•way ux <br /> �ereto appheE lor and lurt�er agrees to remove aams upon not�ce <br /> Irom t�e Gty antl lo replace puobc O�ope�ty aam�qaE t�ere6y. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMl1NICAT10N5 � <br /> . DR�ItUOE TR�FFIC �! I _ _ `.���„(\-_<�/— —' � <br /> � <br /> W�iEN FLANNING SiGNA URE O��P�LiCANT <br /> �o ���r �3dG � <br /> STREET � ADOFESS <br /> .�Y,<.�`/ w�/f 9G'�o 3 <br /> GTv ZIP <br /> V D FOR C NSTRUCTIUN D�TE 3S �— //,3s <br /> � TELEVMONE HUMBER I� ALTERNATE <br /> /d/Q / /� <br /> . A VED AS CON'TRUCTED GATE Dni�—� <br /> � ' <br /> i <br /> CONSTRUCTION/AS BUILT pEE 1978 <br /> � .,ir.�C • - ' r :e-�v��i.v�-vf . ; ._v .. . .. c, '''A i <br /> i I r {d��'t( s�1 r � Y + �' ��� <br /> . . r. _. �':^J.!'�7FA.i. . � aj.�;:�- « w� ...<:.:.qn . ..r::«rR_.... � �.�..^�'i�sfGCYf�fkU�i�tE.onye' .� <br />