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R <br /> � ) � / 7 <br /> !V!f!M <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cleady with mk <br /> PRESS HARO - YOU ARE MAKING CiJPIES <br /> PUBLIC WORKS -� <br /> EVERETT,WASHINGTON PERMIT N0. �� � -�'� <br /> APPLICANT (UNDERSIGNEU) AND FIRM fl1=PRE5ENTED, IF ANY: .. <br /> HEREBYAPPUESFORPERMISSIONTO �'�'�" '!(_ /L/�;:��.�..'�/ <br /> 2 Z/U- /`%i�roe f�ve - Fva.-rr7f LcJa,, 9cYZa� <br /> AT THE FOLLOWING LOCATION . i <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> - ,',..� :; ,. ,- . - i <br /> ` �n, ..�n,. '.f i,�. . . <br /> '� , � .•`it iii �•.- i�J,. � <br /> .1,� ;i��, � ,3_- �. l✓rf� � <br /> /_ 1 . . <br /> � <br /> I <br /> I• <br />!' <br />�� <br /> Ij <br /> f. <br /> i I <br /> j". <br /> 1 <br /> . ° DRIVEWAY SECTICN � <br /> PERMIT IS VALID POR 60 DAVS � _ � <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP _ � <br />' ON JOBSITE. I_30" I �� I <br />,, CALL FOR INSPECTION 259-881 t r � -�—�1 <br /> t� 24 HOURS BEFORE CONSTRUCTION <br />��� T�e unCorsigned ownar here�y agrees ro holtl nnu sa��Yarmless <br />�1 Ihe City ol Everett Irom any :ntl all claims lor camn � cosls, <br /> � expenses.ar cause�.:ol a:tion tnm ma arise because ol�rsla'i.�Don <br /> �Y ond maiMenance ul thc �mpwvemenl o� other ngObobwa; u�e <br /> � he�eto apOheA lor;;nC lurine� agre• to remove samr upon rv',mc <br /> Imm Ihe City a�J lo replace put.c proVerly aamagetl Ih.;u��, <br /> DEPARTMENT APPROVALS <br />� <br /> SEWER COAIAIUNiCATIONS <br /> ,� <br /> pRRINAGE � ' ._ , TRAfFlC � , � , <br /> ... � %��. . -/") �, ,� Lf- — ...,—_ <br /> WATEB PLANNING S�GNrl1U�E 0� A�'PLiCANi <br /> IF@i i.c; A3� ,t�: u( t.;.t,h1���.7'uni a�.t�. /f �( <br /> STREEt A�pRE55 <br /> . , ���.1. _i� .....:I 1� ..,� /cur < �-I- (�Ua� r:�Z� t�l <br /> �!l�4, ��. - i�lti(� ,.,�1(��J��yt/�,� CITY IIP <br /> APPROVE�F CONSTRUCiION ' � AiE 3 S S� 'Z�I Z <br /> 1ELEPMONE NUM�ER r' ALIEHNAiE <br /> L <br /> � � Z� � X I . <br /> I APPROVED AS CONSTRUCTED CniE on1E <br /> I _ _ _ . _ " __ _ — — �,.. . . . ; . ,, n _ 197A __ _ � <br />