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evereM <br /> � APPLICATION FOR RIGHT-OF-WAY llSE PERMIT <br /> Type or prin�cleerly with ink � <br /> PRESS HARD - YOU ARE MAKING COPIES , <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. �! f L <br /> APPLICANT(UNDEHSIGNED) AND FIRM REPRESENTED, IF ANY� <br /> HEREBY ApPL1ES FOR PERMISSION TO,_ ' <br /> AT THE FOLLOWING LOCATION_ / ,.J �� O`-l� ��, �� <br /> � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> jl� ,,'�l/. <br /> � e��,:,f��'� . <br /> (� � ' �� <br /> . Jrµrnv� <br /> c%'� f <br /> � G� I <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � <br /> COPY OF THIS APPLICATION TO BE POSTED ----7-� <br /> ON JOBSITE. I�— i i" LIP <br /> CALL FOR INSPECTION 259-681 1 30 — I 30" <br /> 24 HOURS BEFORE CONSTRUCTION <br /> � , _ The unaersigncd owner hereby agreev to hol:antl save liarmless <br /> Ihe City oi Everett Irom any antl all cl s br tlamaoes. cos�;. <br /> CxpC11525.Of CdO5C5 OI AC�1OO I�IdI mB)' Sp bPWO3C OI IOSIdiIdllOn <br /> , dfld TdiOICllalnCP O� MQ ITp10VC�llfflt O! O�hn� fi(jM-O�-W�Y VSC <br /> heieto dpphe0 lo�antl I�ut�m aqrees to remave stime upon nObcn <br /> � DEPARTMENT APPROVALS ��om ine Cny a�� �o iepiace nubim ��onrn� damagin mere�y <br /> SEWER COMMUNICATIONS <br /> DHnINAGE LqpFFlC � � � <br /> WATER PLA�N�SWNG SIf.NATURE OF APnuCANt 1 . f <br /> % <br /> / �L�,�t.�,.4 � <br /> SnvEEi . _' � � �. <br /> �ooaess <br /> n , � ;� <br /> � �. r:nv i�o <br /> AVNROVED FOR CONSTRUGTION pq� — <br /> iELEVHONE NUMOEN n�1EANPfC <br /> i <br /> �� APPROVED ng CONSTRUCTED <br /> DA1L DAtF - - <br /> � .. _ ._ li,jc�'�C'TIO•.� r�.. � i I� <br /> �r� <br /> �978 <br />