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i � - � <br /> � , <br /> �� everen � <br /> � � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � , Type or print clearly with mk <br /> PFiESS HARD- YOU ARE MAKING COPIES � <br /> FUBLIC WORKS il <br /> EVERETT,WASHINGTON PERMIT NO. �� �✓�Z i, <br /> APPLICANT(UNDERSIGNEU)AND FIRM REPRESENTED, IF ANY: 1��w✓�'�� C��I ST}?iu-G-T�I Or� �I <br /> HEREBI'APPLIES FOR PERMISSION TO =K.Q ���_ i <br /> — I <br /> AT THE FOLLOWING LOCATION �S � � �/�I �� ��1� j <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> �A+2�1►.l L� 1..�"t- s�. STbi2w� �12 A� ►�! A b£ }-�-oo IL k,P, <br /> �z. a�.a�.cC,�a.�.Y SE p t� , � <br /> I <br /> i <br /> � � <br /> I <br /> i , <br /> , <br /> , <br /> I �. I <br /> � <br /> I�i <br /> 'I <br /> � � <br />�, � I <br />�I <br /> i: <br /> I� <br /> 1`� II ' <br />'` I� DRIVEWAY SECTION �, <br /> I PERMIT IS VALID FOR 60 DAVS � � <br /> � COPY OF THIS APPLICATION TO BE POSTED I <br /> I" LIP <br /> ON JOBSITE. �30" I I 30" �� <br /> ! CALL FOR IrISPECTION 259-881 1 'r fi ! <br /> � 24 HOURS BEFORE CONSTRUCTION � <br /> The un4ersigne0 owner hereby agrees to ho10 end save�ermless , <br /> Ihe City ol Everefl irom any en0 all claims lor dameges. cosls. I <br /> l eepenses,or[eu5es ol action Ihat may anse because ol mslallalion I <br /> ` an0 meinlenance ol ihe improvemrni oi o�her nghl-ol-way ase I <br /> { I hereto ap0��e0 lor ano furtner agrees Io remove same upon notrce I <br /> Irom Ihe Cily a�0 �o rrpinte publit proper�Y dan�gea ��ereby. � <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICAtIONS I <br /> DRRItlRGE TF�iFlC � ��� � <br /> � I <br /> WATER PLANNING SIGN/.i11R[O� 4�i�liGaN1 �i <br /> �' � $vX_�5� , <br /> STRtEi RODRE55 � <br /> � ` '' �V G'�P.ETI- W�Si� '�'1 @�ZO� ' <br /> ���V �� cnv tir <br /> � ZS`l ' `I �`� � ' <br /> AP OVED OR STRUC N OniE <br /> iE�EPHONE NUMpER ALTEqNPiF I <br /> �Pa�,�_�f�9�E Y" �� ��iZ�� Z7 �5 �3 � ; <br /> APPP ED AS CONSTRUGTED nlE D4iE I <br /> L,CF:3i i=;l IC;�� li;;.!„�.". i�I III_T ,E� 1978 � <br />