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- i � <br /> eYef� APpLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � TYPe or print ck�dy with mk <br /> PFESS HARD - YOU ARE MAKING COPIES <br /> PUBUC WORKs PERMIT NO. � � �- <br /> EVERETT,�+ASHINGTON <br /> APPLICANT (UNDERSIliNEO) AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES Ff1R PERMISSION TO - I <br /> AT THE FOLLOWING LOCA?ION � �� �� '� � <br /> DRAWING (WORK TO BE DONE) f)H THREE PLANS ATTACHED: <br /> � <br /> �/�� 5 � <br /> n�`� �Q�rS�� C/ <br /> / �5 �✓� <br /> � . ���a� <br /> C/�� <br /> /" 7� � I <br /> � �� <br /> '� <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � --� <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. �„30" ' � _____,.�.30 <br /> CpLL FOR INSPECTI�DN 259-881 1 <br /> 24 HOURS REFORE CONSTRUCTION r�„ ,,,,tl�,s,9„�� ow��, n<«ov ee«�s�o �'��tl�^�s�°� °""''�s� <br /> , � ' Ihe Ci1y ol EvPrett Imm any an0 all r.l s fo demages. cosls. <br /> � e.penses.or causes ol ac:ion Ihat may se bewuse ol mslallahon <br /> � and maintena��ce ol Ihe �mpro�emenl o� other nghbobway use <br /> hCre�o dpVLe�1 br and �url�ai a9ree5 Io�emove Samc upon nObce <br /> Irom Inp CitV ana to irpidce p��bhr F�op���y ���magen IherebY. <br /> DEPARTMENT APPROVALS <br /> SEWEP COMl.'UIdGm,UN� . . , � <br /> 'RAlPiG <br /> OqNNAGC . • . � <br /> � S�GNATUAE OF ACPLICANI <br /> �LnN NG J.. _ :lr.G ' <br /> i „ <br /> WAIER y .. (_l (�'� <br /> - 40DAEti�a � ' � °� <br /> IS1PEE� .Q � <br /> }, a+v <br /> zir <br /> I APVROVEOFOR CONSTRUC1iON �A� — I <br /> TEiEVNONE NUMOER A���A���� <br /> � OAiE �niE li <br /> APVROVED AS GONSTRUCTED <br /> � ,F <br /> ��— �9'!8 <br />