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-- <br /> � �Sri 7 <br /> evven <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLii.WORKS � <br /> EVERETT,WASHINGTON PERMIT NO._ �L.��— <br /> APPLICANT �UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> HEREBYAPPLIESFORPERMISSIONTO ���- '-�LL ��i'�.���.-�'' <br /> f.iTHEFOLLOWINGLOCATION ����� ��UhYUL' �(/f�i " EvB/�%// �•CJGi. �CYZU.� <br /> IDRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> iI <br /> �l/�.. r I �- <br /> . l.�Jl1. . (. . / l � . ./r <br /> � 1 . i/./1/ (�•" / <br /> � � � l- t _ . �. 1✓ri.J <br /> �, ,/ii.;� . i. .� , <br /> i <br /> I <br /> I <br /> � <br /> I <br /> � <br /> I <br /> � ORIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS 1�-- ----� i <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED �� + I" �ir� <br /> ON JOBSITE. I 30" I ___L_3o" <br /> CALL FOR INSPECTION 259-861 1 I'—� <br /> 24 HOURS BEFORE CONSTRUCTION Tha untlenigned owner hereby agrees to hold entl save harmless ' <br /> Ihe City ol Everett Irom eny ontl all clalms lor dnmages, costs. <br /> expenses.or causes ol nclion 1�at may arise becnuse ol instatlation <br /> .lntl mdiniCn]nCC 01 I11C �mprOVCmCn� Of Olhc� n�lll'OI-way u5C <br /> herelo appbed �or antl luriher agrees to�emove same upon notice <br /> Irom Ihe Cily and lo replace pubbc propeny damagea Ine�eby. <br /> DEPARTMENT APPROV��LS � <br /> SEWER COMAIUNIL!1 i�NS <br /> ORAINAGE � _ , TRAfFIC . ��..I �". /� �` <br /> . � ' � �1� � � ,� f ��� �. % i/ i f.±� <br /> i _I <br /> 1yA1Eq PLPNNiNG SIGN�iURE U<<P�LICANT <br /> (F@i �•S +73�i ��� � � f t.� ��lrn�,T'uni ��,,,: 1-� �/ <br /> sineer — noon�ss 1 <br /> _. ,;.j ,�� i_��y _ r� ,-f- G�b, �;kz��.l <br /> �% — , �� /t'/ ��r. Z�P <br /> �r—, �,� 4 .� t � u �n � a,E 3 S 5— IZ1 Z <br /> APPFOVED F07i CONSTRUCTION <br /> IELEPHONE NUMBEA r' ALiERNAT[ <br /> � � Z3 � 3I _—_ <br /> APPROVED AS COhSiHUCTED DArE DATE <br /> r,�r-Eiaerviceco�v fEE �s�a <br /> �' �; ��t;���r�"��. '� p ..�. r :� 4 �m. at'a,�, ._>. <br /> x �.���'�111`.t�' ^.._ .,.:'Pt' . .. _ .a . fiserl�'�^�F.i.. [ ` .'�a'C:i�.� �Fi ..'t�:r.... ::1 ... . ._ <br />