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_ ... . . ... .:�Y. ' _ .. . " . . <br /> . .. .� � � <br /> , - � D�p�,�2� <br /> �eV� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with mk <br /> PRESS HARD- YOU AfiE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTUN PERMIT NO.�2y� <br /> APPLICANT (UNDERSIGNED) AN�FIRM REPRESENTEO, IF ANV: C�'�� K � N' N�`� �—O�'1 ST <br /> HEREBV APPLIES FOR PERMISSION TO G G��✓T� I� �'( H'�P�"F3�L� DJ w <br /> 22�7 <br /> AT THE FOLLOWING LOCATION � �v/V�� /l E <br /> DRAWING (WORK TO BE nONE) C!'ri THR�E PLANS ATTACnEC: <br /> } <br /> � ,C'.rG�,Q <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � ____ � <br /> COPY O� THIS APPLICATION TO SE POSTED I" UP <br /> ��N JOBSITE. I I <br /> CAtI_ FOR INSPEC710N 259-881 1 I"3�"t' ---__�.30" <br /> 24 HOURS BEFORE CONSTRUCTION rne unaersigned owner herehy agrees �o hola entl save harmicss <br /> the Cily of Everett Imm any and all claims lor damages, cosls. <br /> e.penses.or causes ol actian t�at may arise because ol ins�a:lai�on <br /> anC maintenance ol Ihe improvemeni or oiher ngh4pt-way uvr <br /> here�o apphe0 lor an�Iwlhcr �grees lo remove same upon notrce <br /> Irom t�e Cdy and to repiacc pubhc piopcily tl,,ma9c�f Inereby. <br /> DEPARTMENT APPROVALS <br /> sEv+Eii coran�uNicr,�o�. � <br /> DRAINFGE �,�9pFFlC�� ���� C'�/::�� �;�,._ . (i"i [i'. ', ��� / �:iCi � i'�i .,, <br /> � i.� �C i <br /> �:.�U ���G�i� � <br /> 1YATER PLANNING SiGNATUAE OF APPUf,ANI <br /> i'GG� �i���:,.�C' �'ri�' <br /> STREET � — <br /> , � 4DDRE�S <br /> �-KL�� ��- ��a�',`�9 ���` �� ���-/� s�:.�i <br /> ZIP <br /> A P OVED FOH ST UCiION DATE �( J�— �J/� �'^�y�`�� <br /> ✓' �J / <br /> LELEFGHON[NLM11(3ER c ALLENNFiC <br /> Pn./,c.----— �`/ hNfL fl o O —�'— / / <br /> APP S C N UCiE}� O OFTE oniE - <br /> ` L <br /> i;Ob1S I I;UC'I IOi�:.';1��UII.�' ��t 1978 <br />