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, - , <br /> _ _ ._ , _ _ <br /> everetl <br /> � APPLICAT�ON FOR RIGHT-OF-WAY USE PERMIT <br /> Typn or print�Cleerly wilh Ink <br /> � PRESS HARD- YOL ARE MAKING COPIES <br /> PUBLIC WORKS � <br /> EVERETT,WASHINGTON � PERMIT NO._� <br /> APPUGANT (UNDERSIGNED)AND FIRM RF^flE NTED, c -�;:Y:_ 7��� �/f%��U'V U��KJ �,O , <br /> HEREBV APPLIES FOR PERMI9SION TO o� X �CJ � Y�/4/�'K�/✓G" /p-iP���" � C-/?i4I/�EL'' <br /> <�FF G%� /4LL� �/ <br /> �n i3 �i�—.� . <br /> AT THE FOLLOWIN6 LOCATION �� — <br /> DqAWINl3 (WORK T(i 8 DONE) OR TNREE PLANS ATTACHED: <br /> �-?�P /A��t�x�o �9'�� <br /> � <br /> ; <br /> , � � ,�- �' <br /> Y, . < ' <br /> :. 4 , � �. �3 <br /> i � ��' .. <br /> .� i y y <br /> �4�L` ' <br /> y} 1 }y �/' � <br /> . $'1N k+t... ; i <br /> .• 't ;`j� �i/ �//// <br /> '� � �� Y <br /> q iw.. � <br /> � , .�'.�,�ft=,���.., <br /> �1., .���.�! .. <br /> 1�. :F't�'. <br /> t. <br /> f <br /> x:. <br /> ���,� � <br /> ; - � L� � � � d (� D <br /> ORIVEWAY�C��N979 i <br /> � ................�......_.�.....,_... i <br /> . PtRMIT Is VALID FOR 60 DAYS �CITY.O�.� <br /> COPY OF THIS APPLICATION TO BE POSTED �_ i" LIP <br /> ON JOBSITE. <br /> C�LL FOR IN8PECTION Ys9-881 1 �3o'�T �}�30", + <br /> 24 HOURS BEFORE CONSTiIUCTION rne��aa�i9�ea ow�a� na,anY,y�ees io naa a�,a.,.e n.,�,ia,: <br /> Ue City d Evcrelt Irom any antl �II cl�imn lor demepes, cosls. � <br /> e.penses.or causes ol aclion tn�t mey arisa because ot inst�lle6on <br /> anC memtenmce ol tne lmprovement or otner ngh4ol-way use <br /> �ereto apP��� lo�enE fu�ther agreef to romove same upon noUce <br /> Irom Ine C�ly ana lo replate puEht Dropeny 4ampeE I�ereEy. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNiC�ilONS <br /> OR�IN�6E TP�iRC / <br /> �� ���'l.C`.�Cl�'l .� l�1� <br /> WATEN PL�NNING �Of APP�.CANi � <br /> �� �c, Y _i�'-Co �. <br /> STREEi �DDHE55 <br /> i=uc-f�•�rT riJll `�8�'3 <br /> � CITY ZIP' <br /> A � I •tE ��� ��3� <br /> TELEFNONE�+UMBER A�IERN�IE <br /> ' ,6��6�5 t� I <br /> V D AS CONSTRUCTED n.+TE DATE /� <br />