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everra� <br /> � APPLICATION FOR RIGHT-UF-WAY USE PERMIT <br /> Type or prin�cleedy with mk � <br /> PRESS HARD - YOU ARE MAKING COPIES � <br /> PUBLIC WORKS <br /> EVERETT, WASHINGTON � PERMIT NO.�� <br /> APPLICANT(UNDERSIGNED) AND FIRM REPRESENTED, IF ANY:SITC NR�'✓�lfihTlOnS 1�n15 Zvl(", <br /> . r <br /> HEREBY APPLIES FOfl PERMISSION TO S <br /> AT THE FOLLOWING LOCATION � ' � � �) 1'�1 �+ <br /> /1cc FdB«e R/L�Nt cF-uJ�'Y ��-'���-•rJ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: Z�� ,y'(�Z�sj-���/�,( � J f= P/R�G' TO <br /> ( �' S r'sr b�GF';7-�r ?/.��yBFTlz16E/L <br /> 0� ,— -�c.���E�/a1�7F1� <br /> .�.� , ��, �.,�a <br /> . .�.�,c�. �I� <br /> �m ���� � � <br /> , <br /> � � I I�. �� � �1�� �{� ('OnS�� � <br /> �l'p � - <br /> I �---._._..`_- <br /> �� I/f—�� <br /> �; � ��' <br /> � � <br /> � �„� � 1 � �t 2 <br /> � _ k°vN� ��-� (3`Q9'� J �2� � <br /> r � .��, , .,, � �,.� �� , � � � a <br /> `� �o� �'��' �'� 2, �� y,�,y,� <br /> �°� �,�� �� ���- � � �l -�, `�,� <br /> � � -� � �,�� �\¢ �' �,�,�� <br /> �U OQ J.r-�.v" <br /> � <br /> � ` �,J 2 <br /> i !\1� 50RIVEWAY SECTION <br /> ) <br /> PERMIT IS VALID FOR 60 DA (�/ v � <br /> �/ <br /> I:OPY OF THIS APPLICATION TO BE POSTED �•� ��p i <br /> ON JOBSITE. <br /> CALL PdR INSPECTLON 259-681 1 0" � 30" I <br /> 24 HOURS BEFORE CONSTRUCTION 7ha undcrsigned'owner heraby agrees lo Aold anC save hnrmless I <br /> Ihe City ol Everelt Irom nny end all cla�ms br da'nages, cosis. I <br /> eapenzes,or causes o�action t�at may ar�se betnuse oi ins�allabon I <br /> antl marilenance ol t�e improvement or other ny^t-ol�wny uce I <br /> herelo applic� tor and Iwt�er agrees to remove sarre u0on notice <br /> � Irom Ihe C�ty antl to re0lnce puGLc properiy tl,�inagetl NereOy <br /> DEPARTMENT APPROVALS �, ' ! <br /> � <br /> SEWER COAIMUNI�P110NS <br /> � DRAM�OE TRAFHL � <br /> 'NATER PLANNING SIGN4IURE Oi APPIJCANT <br /> �4�x��?� <br /> SrnEEt aon��E55 <br /> `�ta nv.�oo z� A . —.���� <br /> ciir ziv <br /> I APPROVE�fOii CONSTRUCTION DnTE �5� -q i�� _l,a�� 3��5 <br /> TCLE✓r�ONE NU6•OCH q�i[RNAI[ � <br /> 1� — � � 8 � <br /> i APPROVED AS CONSTRUCTED DnrE onr[ I <br /> � �� � ! ".'._. . � __ „ _ ..�.[ , � _;�I !;!7 rtt 1978 � <br />