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. - . <br /> - �. .�.. t .--., •-�- . — � <br /> . , E..�a <br /> � <br /> e.eren <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or prinl clenrly with ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS ` /'J <br /> EVERETT,WASHINGTON PERMIT NO. �� ��� <br /> iAPPLICANT(UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: / �vI�LI'1FI� <br /> IHEREBY APPLIES FOR PERMISSION TO '�� �7"'-S�'�"�1 c� �2%LGcvCc�� /yI«.SIL�G -J-/!///oltJ <br /> � cl r",vc'.✓z�� <br /> AT THE FOLLOWING LOCATION <br /> //�r �.�.,�'G A � � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: � <br /> (c-/3'$� . <br /> �.Y��x, a//y �H��a.occ, �SPr�sc.,�y eX,sr�N� . <br /> /�//cf e.��r�ti w.��� ,s �oru�.,t��j /.2 J cuo�/� �c iN«��k 1 <br /> . <br /> e /�. <br /> , �,ee.� ��-�. �-��-�,�,� .�„�.t.� .-�.� �.��,ee� <br /> �,���`.�`��'e`�''-',� 'e�',�,� � ,%,� �� �- <br /> � � , � .,���(�--�, �L�-�F,u�-�c.-�-f� �¢-e2c�r —t«.c cL�_ �'d �(J <br /> �� U <br /> ; m�uc-� .�e �c.,�,c^-�-e-� a-� /�-e��T��� �+� <br /> ,a-�"r-"'P� �c--Lea.o, ,� Cv ''-�� <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED �L �ia _�'1 <br /> ON JOBSITE. L3o" ,� � _30" I � <br /> CALL FOR INSPECTION 259-881 1 r 1 <br /> 24 HOURS BEFORE CONSTRUCTION ihe undersigned ownen c�reUy agrees lo ho10 enU seve hxrmless <br /> t�e City ol Everel� Irom eny an0 all cleims for tlamayes, co,�s. <br /> � e�pen5�5.or causes ol ection Ihal mey arise becaute ol installation <br /> and mainiennnte ol the improvement ur olher nghbol-way use <br /> he�eto aFPbed for and loriher agrces to remove same u0o��notice <br /> Iwm �he Ciiy an0 to replace pu�lic prope�ty damaqed Iliereby, <br /> DEPARTMENT APPROVALS <br /> � <br /> SEWEN COMMUNICBTiONS <br /> DRAiNAi3E TRAfFlC - / // / <br /> !Y� J � <br /> Y/qTER PLANNiNG SIGNAtURE OFa�FUCR <br /> I _ Yo, ,� 3G3 _ <br /> STREET ADURE55 <br /> ��:i� ��ZQl�,ti. �n —�U�'�U /��./�� 98i> >" <br /> A P OVED FOR ST CTION � OniE GTY �`S'�/^� ZiP <br /> J 7 <br /> > TLLE✓MONE NUMOER AL1EPNrlIE <br /> � ,' L� �!�„----=—`�_G�T � G 3�D -- _ <br /> APPRO - �;IC(�NST(:LCIED c.�tC U.��1 <br />