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evered <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMiT . <br /> Type or print clearly with ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PuaucwoaKs '� PERMIT NO. �v �`� � <br /> EVERETT,WASHING70N <br /> . � . . �i . , -_ . . <br /> APPLICANT,(UNDEf�SIGNED)AND FIRM REPRESENTED, IF ANY: � <br /> � \ <br /> . � <br /> HEREBV APPLIES FOR PERMISSION TO -- <br /> AT THE FOLLOWING LOCATION ����� P�'UE ST. E!/c�'�E7T GtIA � /BdD/ . <br /> � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> I <br /> � <br /> I <br /> I <br /> I DRIVEWAY SECTION <br /> I PERMIT IS VALID FOR 60 DAYS {� -� <br /> � I <br /> � COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. I _30" I I_3o" <br /> CALL FOR INSPECTION 259-881 1 I' `7 -'� � <br /> 24 HOURS BEFORE CONSTRUCTION tha undersigned owner hereby a9rees to hold and save nermiess <br /> Ihe Ciry oi Everett Irom eny anG ell claims lor damxges. rosts. <br /> . expenses.or ceuses ol action I�al moy arise because ol inStallaiion <br /> and maintenance ol Ihe improvemenl or other righbol-way use <br /> hercio app6etl br antl turtncr agree,lo rCmove Same upon nolice I <br /> Irom �hc City antl to replace publ¢ O�operly tlnmagetl Ihercby. <br /> DEPARTMENT APPROVALS <br /> I $EWER GOMMUNILATIONS <br /> pRA1NAGE � TRAFFlC ���(,(/,/'y�'J I <br /> I � . ����a���C.F�1' I'"� <br /> j WATEF PLANNING SiGN4TUR[OF APPUCA ,� y i <br /> � , t '1 . i�"r[ I•. . �� ( ..1 . — _ <br /> ISTREET ~ •��D��E55 � . I <br /> �� '� y �O arv ' zia — I <br /> ,.r <br /> APPflOVED F R CONSTPUCTION DnTE "� <br /> '�� � � / TELEPHONE Nl1A1pEA AL�ERNItE <br /> � �j.�/ � <br /> �iL/��.: aQ , <br /> AP VED AS CONSTRUCTE � Dni OntE , <br /> ' �ONSTRUCTION/ASBUILT �EE t978 <br />