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i - _ <br /> � <br /> everen <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> V Type or print clearly with ink I <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS I <br /> EVERETT,WASHINGTON PERMIT NO. n � <br /> APPLICANT(UNDERSIGNED�AND FIRM REPRESENTED, IF ANY: NAL QA�H GpNS T�, I <br /> HEREBYAPPLIESFORPERMISSIONTO IN 'S ?'9« ?- J � �/TVSNFd RCUt O/ZIV�=l..�qy OF/= A�lF1' <br /> AT THE FOLLOWING LOCATION I S �S_P��E � EdE,PEi�-� 4� 9tJ�ZOI <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ; C�n�l. -�. r7�S <br /> �o �J� /��: /f'" Gt�..r.l !a a'i�a..�-.� �f��.Y�i�[ . �•� r— <br /> & J r. <br /> p / i7 <br /> /���),.I I�c�if % r� .�� 000 — f-O� /hSfG//t, ` :)� �<) <br /> (J �� P a <br /> �.:-` /,, �/�.,,-r— � r i5— � ,_� I <br /> � <br /> � � <br /> ` � L� <br /> V_ � � I��� � <br /> / D � / /� '� <br /> � <br /> � <br /> � <br /> DRIVEWAY SECTION i <br /> PERMIT IS VALID FOR 60 DAVS � � � <br /> COPY OF THIS APPLICATION TO BE POSTED i" UP � <br /> j ON JOBSITE. L30" I I 30" � <br /> CALL FOR INSPECTION 259-881 1 r—'i' ��• <br /> ' 24 HOURS BEFORE CONSTRUCTION <br /> The undersigned owner hereby agrees to hola and save harmless �I <br /> the City o/ Everett Imm any antl nll clnims lor tlemages. costs. , <br /> eRpenses.or Causes ol ac6on t�a�m;1y ansa because ol inslall9lion <br /> antl mamtenance ol ihe improvement or o11iM ng�4ol-way use , <br /> nerelo apPhea lor ana luriher ag�ees lo�emove same upon not�ce i <br /> Irpm Ihe C�ty ana Io ��vi�« n�eu� o�op��iy a,m,qea Ihereby. � <br /> DEPARTMENT APPROVALS <br /> I <br /> SEWER COMMUNiCATipNS <br /> I <br /> IORRINAGE TRAFFIC ) // I <br /> 1 _ _ ��Wc{ / �' 4/ `W� <br /> I WFTER PLRNNING SIGNRTUAE Of RPPUCRNi � <br /> I71 i4 H�Ltr�.a.�n .9� c. <br /> STflEET RDDRESS � <br /> � <br /> �Z7G � 7� 59 �5/�'a EVFRFr� I^ASN `�`d�-�l j <br /> Q � / Lh CITv ZIP <br /> cI� �, � <br /> APPROVED OR CONSTRUCTION /TE � � 4SU ' <br /> IiEIE�'MONE NUMBER A�TEBNAtE 'I <br /> ; �-�1�. -=- �- � -� ' - <br /> I AP O A CONSTRUCTED DarE OntE � <br /> � CONSTRUCTION/AS E�UILi ��� — - --- ��78 � <br />