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I ~ <br /> !Ylftfl <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT �, <br /> Type or prin�clearly with mk � <br /> �, PRESS HARD - YOU ARE MAKING COPIES <br /> �, PUBLIC WONKS (' <br /> EVERETT,WASHINGTUN PERMIT NO. 6V��/� <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV�. _ N� �I�RICN LONS T <br /> HEREBYAPPLIESFORPERMISSIONTO�NS TR4 '7.0 C/Z�(�yHB �QU�/C OR� vFUAY OFF A �l Ey <br /> ATTHE FOLLOWING LOCATION.�t SO S�P/Nr St. E!/EPE7T�).4 9f�2Q/ <br /> i <br /> DRAWING lWORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � ` c,��o� —. . , � g <br /> 0 6� 6�,:/t/���..,.,1. ,� 1v ai,�.�_� �l,4,,���� .�� r <br /> /J-),.I� �./.O i-ar r5'o�, o00 %r.�-� .i, S vl.�/C. —.'�-.-. •.� <br /> t,i�t �J� Cli/�-. '7� �: r /S � ��C /i...� d <br /> r1'� I�g'�N � <br /> �- �'. <br /> � v <br /> �' ' � <br /> I <br /> ; <br /> � <br /> I <br /> I <br /> i � <br /> i <br /> i <br /> DRIVEWAY SECTION I <br /> PERMIT IS VALID FOR 60 DAYS � <br /> j COPY OF THIS APPLICATION TO BE POSTED + ��� ��P � I <br /> ON JOBSITE. I � <br /> j CALL FOR INSPECTION 259-881 1 I 30 'T ��30" ;I <br /> � 24 HOURS BEFORE CONSTRUCTION ' <br /> � The undeisignetl owner hereCy agrees b holE and save harmless <br /> ihe City ol Everett Irom any and all claims lor dameges. costs. <br /> eaDenses.or tduses ol eclion Ihal may anse betause ol install9l�on <br /> anU mainienante ol Ihe improvemenl or olher righl-ol-way use <br /> herCto aOP��� �or anE lutlhcr agrees to remove same upon nolice � <br /> Iwm I�e Cily antl lo replace pu6ht pwpetly tlamagetl Inere�y. � <br /> DEPARTMENT APPROVALS I <br /> I <br /> � <br /> SEWER �OAIAIUNICATIONS � <br /> �fi�INqGE fRAffIC ,1 � ,-.-vV � <br /> b <br /> H� �� <br /> �Z.....� 1 <br /> WNTER PLANNING SiGNRIUNE Of APPL�LANi � <br /> � <br /> Z I 3 G ��l I CH tA�..r� R�< <br /> I STqEET PDDRE55 <br /> ��; F�r���—r; l�,qsH 9 �tvi ; <br /> ���. /-d�:�_T � ��/.fb ci,. np <br /> I APPROVEDF HCONSTRUCTION � � �E Z j 1�1�/S� , <br /> � <br /> I _ TEIEVHONE Nl1MBER q�TEqrypTE i <br /> .�._- `F- � - � � <br /> AP VE AS CONSTRUCTED DAiE DntE �� I <br /> I i <br /> I <br /> � CONSTRUCTION/AS BUILT ,EE <br /> 1978 <br />