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1 <br /> � . <br /> e�e.en <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cleady with mk , <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WOFIKS �-� <br /> EVERETT,WASHINGTON / �1 PERMIT NO.��. �`� 7�-�- <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �'-'��' u—�� "`� <br /> HEREBY APPLIES FOR PERMISSION TO �J ^ � <br /> ' _. <br /> AT THE FOLLOWING LOCATION /�� I j �i �i � -� t, <br /> � DRAWING (WORK TO BE DONL) OR THREE PLANS ATTACHED: <br /> I <br /> I <br /> � <br /> ► - <br /> � <br /> � � <br /> ��`�\�� <br /> 5�\\�`\ <br /> � � .. <br /> 4 �v - ,��� <br /> v� <'�; ` � � <br /> �� �� �,�p '`�o <br /> ;,:1'�,,;r <br /> �, „���� <br /> ' `,.; <br /> � <br /> � i <br /> ORIVEWAY SECTION <br /> PERMIT IS V!►LID FOR 60 DAYS � --� i <br /> COPY OF THIS APPLICATION TO BE POSTED ��' LIP I <br /> ON JbBS17 E. �30�� _ �30" <br /> CALL FOR INSPECTION 259-881 7 <br /> 24 HOURS BE1=0RE CONSTRUCTION Tho untlorsigned owner hereUy ngrees lo holtl entl save harmless <br /> I�e Cily ol Everetl Irom any and nll Uaims lor tlamages, cosls. <br /> e�penses.or causes o�attion Ihat may anse betause ol insiallabon <br /> ` .lnd mamtenance 0� �he imp�ovCmPn� O� O�hpr nghi-Ol�way u5C � <br /> � he�Mo applie0 br an0�urthe� agrees Io romove same upon notmu I <br /> Irom Ihe C�ly antl Io repinte pu0hc p�operly Damagea Inere�y. <br /> � DEPARTMENT nPPROVALS <br /> SEN'ER COMMl1NICNilONS � <br /> II .. ____ - _ <br /> DRAWAGE iRAFRC . I <br /> � – `— _ � _��' I <br /> WATER PLANNING `�--�"�F+NPIU�EOfAFPUC<Nl _ . <br /> ADOFE55 <br /> STREET _ � <br /> I '/ L Giv LF <br /> ���,� K��.u.�----- J w v� 7� <br /> I APP � O��STRUCTION OniE . i <br /> TELEPHONE NUM1�BEF ANERNAI[ <br /> � <br /> AF'PROVED AS CONSTflUCiED D�iE ���� <br /> I <br /> I ��I _ - __ _ — _ —_ �9'!8 <br />