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� <br /> �� <br /> ; - . - ; <br /> ieveren <br /> � � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> , <br /> ` Type or prin�clearly wtlh mk <br /> � PRESS HARD - YOU ARE MAKING COPIES <br /> I PUBUC W1RKS � <br /> EVERETT,WnSHINGTON PERMIT NO. , � I <br /> i <br /> APPLICANT (UNDEh�IGNED)P.ND FIRM REPFESENTED, IF ANY: __ I <br /> iHEREBY APPLIES FOR PERNl;S510N TO I <br /> i <br /> IAT THE FOLLOWING LOCATION �-- <br /> � <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHcD: I <br /> � , � I <br /> � ,�, � ,5 e e q� �o��� w Q r � <br /> �/mb�P� �„d-�' `�tlJ QX�ep� � <br /> �--�- w o�,l� �Pea,i � �.�.. � <br /> �n.o� �� �,v e. � P r�o � � � �c � �ci � � <br /> I <br /> ` � <br /> l�lJ2 G. f e ZQ,.� c�o �., � �n �lGt,2. � �n \ (� f � v � I <br /> V � <br /> �,�- k��� ► � � -� � � <br /> �- ►�-� � � <br /> � <br /> �� <br /> � � <br /> � <br /> DRIVEWAY SECTION I <br /> PERNlIT 1� VALID FOR 60 DAYS � _ � I <br /> COPY OF THIS APPLICATION TO BE POSTED � t i" uP —� <br /> UN JOBSITE. <br /> CALL POR INSPECTION 259-881 1 �..30_�_ _L30" i <br /> 24 HOURS BEFORE CONSTRUCTION The undersigneE ownen c�reby egreea to holtl anC save harmless <br /> j me City ol Everett Irom any anE ell cleims �or demepes. cosls. <br /> I "�Oenses.or�auses o�eclion Ihal may ense beceuse ol mstallebon <br /> I and mB��l?nence o� Ihp improvempnl or other nghl-o�-way u6e <br /> �erelo ep0liee lor ena luriher agrees lo�emuve same upo^^obce <br /> �rom tl+e Gty and io �ev�ace pu�l¢ O�oOeAy Cemnge� Inere�y. <br /> DEPARTMENT APPROVALS <br /> SEW[R COMIAUNICAliONS II <br /> / / � II <br /> I ORRINRGE j' t � ('^ •. - TRAfI�.� � / � i <br /> ;, � �_ . '� � <br /> ✓�Jf�' ;� i� :� �>� _�r � <br /> WATtP� -"-' PUNNIN� NAiJaE Of aPFurpNi � <br /> c�; � - . � . � �733v !��GG�[� � ,,: NUL I <br /> sTaEer � �ooness I <br /> .........��.... _ . . ._. ...... �� ; i ���� � 7 � <br /> TI i�+ id_' .: '� 117 crt• 7 z�v <br /> APPPOVEDFORCONS�AUC,IOIY. ',. .,,:;,�.� U��E Jr'�. � 'II p I � SS' d��D � , <br /> � iELE�'MONE NJMBEA Pl1ENNRiC � <br /> , ��- �� - gv _ <br /> I APPROVEO AS CONSTRUCiED O�TE fnit <br /> �� . . _ __- _ _ - _ . '.�i:� <br />