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I <br /> �I CYRNI ' — II <br /> ; . �� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or pnnt Uearly wlih mk <br /> ' ' PRESS HARD - YOU ARE MAKING COPIES <br /> I PUBLICWORKS � � 7 /33� <br /> EVERETT,WASHINGTON � � � PERMIT NO. <br /> �I APPUCANT (UNOERSIGNED) AND FIRM REPRESENTED, IF ANY: � — <br /> II HEREBV APPLIEu FOR FERMISSION TO I <br /> � <br /> � AT THE FOLLOWING LOCATION 2 � 2 S A � B �''1� � v�n � ✓ �' <br /> I <br /> I DRAWING (WORK TO 3E DONE) OR THREE PLANS ATTACHED: <br /> I <br /> I I <br /> I � <br /> I / <br /> i " � <br /> � �g���'���% � <br /> I � <br /> i� <br /> I <br /> I <br /> I I <br /> I ORIVEWAY SECTION I <br /> PERMIT IS VALID FOR 60 DAVS � � <br /> I COPY QF THIS APPLICATION TO BE POSTED �_�'_ua I <br /> I ON JOBSITE. �30�� �30" I <br /> CALL FOR INSPECTION 259-681 1 <br /> 24 HOURS BEPORE CONSTRUCTION T�e untlersigned owner hereby a8�ees to holE and seve�ermleas � <br /> . t�e City ol Everetl imm any entl an Uaims for Oama9es. cosis. �I <br /> r�penses,or causes ol ac�ion ihat may anse because ol installetion <br /> �� antl mOmtenance o� Ihe rmprovement or other rig�l-of-way use <br /> 'I ❑ereto aVf`��ed �or an,1 lur�her agree5 to remove same opon nobCe <br /> Irom tbe C�ty an0 Io rep�ece publ¢ p�bn���Y dam,�ged I�ereey. <br /> � DEPAATMENT APPROVALS <br /> SEWER GOMMUNiCRT10N5 � �` J— � <br /> Lr� <br /> DRRINPGE iFRFRC I <br /> SteJ2n � 2oW� <br /> WNTER PLANNING S�GNnTU�+E Of n�PUGANt <br /> j � ��'�Q� �IICLta <br /> � S.AEF. .,ct�'Iy /_��_�� a�o�5\ier��' 98Zo3 <br /> � �` � �` � . - _ c�.. �] n� <br /> • p�qOVED FGR C . 5 HU 1 oatE 355-(o3g'7 ^�_�,� " � <br /> . S/� TELEFnO4E NUMBER I.LIEPNPI[ <br /> � � -� �� ��9-�� 9 -a�-�� <br /> `�.�; r-�r���� — — ' <br /> I .-APi'HOVED AS C�STflUCTED �ATE D°�E � I <br /> � CONSTRUCTION/NSBUILT <« �9�8 ' <br />