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' . ..� r . � '__ " . <br /> i , • ' �> <br /> � <br /> � !rQ APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or p�inl clearly with ink <br /> _� PRESS HARD - YOU ARE MAKING COPIES <br /> � PueuCwoaKS PERMITNO. f�-� ��� <br /> i EVERETT,WASHINGTON <br /> IAPPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: / `'�%`r1FI <br /> I ,l.�Q?i s T.ti. �� /u.�8� -�/l�ito.� <br /> HEREBY APPL.IES FOR PERMISSION TO <br /> ll.� G��'ivCa/2� . <br /> AT THE FOLLOWING LOCAT�ON�/// �����' ' " � � <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: ���'-13_g� <br /> �.$(�� ��/GIJ Gvr7ro2✓lGG. ��tLSGnt� �XiSTi'rt� . <br /> I /�//� en�r�.r4. w,d�� ,s p/tsc.,r�/ /.2� Guo�/� pc :�oc�c�c<d <br /> V <br /> I t �s: <br /> a�i .'v'�.`,`,a� .�(t.c v�-i�.�—¢._�, I - <br /> �• ��?�ry I� � � ` • ` <br /> �it"�/�"�'--1' �,M.�-��D ��� �-„� G��h'a�'"�d�• <br /> i � , �. ,��c�--� �n:��.�-�--� a�-e�u� —�C u..P�� ,�'o � <br /> � ,��-� .�e ,�,�,� �P ,���-� ��-� <br /> � <br /> ����� �, � � ��-��.� <br /> � <br /> :, <br /> ,, <br /> � <br /> DRIVEWAY sEcrioN <br /> FiERMIT IS VALID FOR 60 DAYS � ---+.i <br /> COPY OF THIS APPlICATION TO BE POSTED i" LIP / <br /> �, ON JOBSITE. I 30" I - _L3o� <br /> CALL FOR INSPECTION 259-661 1 I'�-"r' � <br /> 24 HOURS BEFORE CONSTRUCTION rno undersignee owner hore�y egrees to hold and suve harmless <br /> ihe City ol Everelt Irom any and all cleims lor tlamages. costs. <br /> eepenses,or causes ol action t�at may erise hecause ol�ns�allabon <br /> and meintenance ol the improvement or olher nyhhol-way use <br /> nerelo apphed lor and fueihe� agrers lo remove same uDon notice <br /> Iro . IhC Cily a�A Io replace pu�lit Oroperty tlamagetl IM1C�Cby. <br /> DEPARTMENT APPROVALS <br /> ISEWER COMMUNIC/110N5 <br /> DRRINAGE TRAFFlC <br /> ! /,/ -� <br /> � WqiEq 1'LANNING SIGN4IUA[O� PLICR <br /> �0. ,� 3G3 _ <br /> STREET ACDRE55 �� <br /> ��./�w 9fli> > <br /> �hQ.e-.ti. � -/Q-�(J ��.� ;,o <br /> A P:`OVED POR T CTION oAtE 3ss-f//4G _ <br /> IELEPHONE NUMO[R ALIERNAiL <br /> � � Gc7- � G�3/�D <br /> APPRO � CONSTRUCTED —r ❑ATE onTE <br /> CONSTRUCI'ION/AS t3UILT ,EE 1978 <br />