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, <br /> - - - -- -�,. - <br /> � - �,;��a� yD <br /> everetl <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or prin�clearly with ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETf.WASHINGTON = PERMIT NO. 1 % � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: ' ,�7« L C. /'1 I-L t /�/ <br /> HEREBY APPLIES FOR PERMISSION TO �`���L� L%��. v!W�GC�L 1'-'ll"Y�YI CL✓l.eL...-, <br /> l/ � <br /> AT THE FOLLOWING LOCATION O�� � -� ��u �-� �i ��� ' <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> � <br /> M 1-1 <br /> H '+] <br /> N � <br /> � <br /> Oy <br /> M <br /> � z <br /> � <br /> � � <br /> � � <br /> � M <br /> N <br /> � <br /> i • � <br /> � <br /> DRIVEWAY SECTION � <br /> N <br /> N <br /> PERMIT 18 VALID FOR 60 DAYS {� �! � <br /> I I <br /> COPY OF THIS APPLICATION TO BE POSTED �- � i" LIP � <br /> ON JOBSITE. I <br /> CALL FOR INSPECTION 259-891 1 30't' 'r'3-� <br /> 24 HOURS BEFORE CONSTRUCTION ' <br /> The untlersignetl ownar he�eby aB��s lo holC enA aeva hermlese <br /> the Ci1y of EvereO Irom eny en0 PII cleims br Cemegea, Wsls, <br /> eapenses.or cAuses ol action lhet may nnse Daceuse ol mslalleUon <br /> antl memtene�ce ol I�e impmvemenl or olher nght-ot�wAy use <br /> herelo apphed lor anC lurlhe� agree.lo�emove 53me uDo��otrce <br /> Irom Ihe Ci1y antl tu repince pu0'�c prope�ly tlame9etl Ine�eOy. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNILAiiONS <br /> DRAIN�GE _ TRAGFlC I� • • <br /> � , � � ��� � �:�7.� -�«. C.�Ce�,,,� <br /> WATER �I `� ' � � PLANNWC SIGNAtUREOfOPPLICANT ,f <br /> ��! � L:(L�" i J �t(.�`(' • <br /> SiAEET ADDRE55 �// P )'` <br /> ��.,!� r... �t .�• t �_,` ��9 OSV � <br /> �_%l. . <br /> ��IL/ �T L/ 4/�/�/ C�iv ' Zio <br /> APPROVED F ONSTqUCT�ON A1E :-,1�,� ' �3 �j <br /> � �. ' _ <br /> 1ELE�'HON[NUMDE� �LIEPNRiE <br /> . . , . � l`) ' t � % /�& � _ <br /> qPPFOVEDASCONSTRUCTED ontE Dnlp <br /> RE�ERENCECOPY �ec 1978 � <br />