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everen <br />� APPLICATIOid FOR RIGHT-OF-1i"1P�.Y US.F. PER I <br />Type or prin� clead�; wiih n�Y. <br />PRESS HARD - YOU ARE MP.KiP:G COPIES <br />PUBUC woRKS PERMIT NO. � � � '� � <br />EVERETT, W.��r��NGTON <br />aPPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV: <br />HEREBY APPLIES FOR PERMISSION <br />� � � .c <br />AT THE FOLLOWING LOCATION '3-I ��� � �� ( <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATT` HED: /. � ll ,` <br />/� `.� y�,?� ✓- �� �� . / <br />o , <br />��i,rn,i,i . .� ., � � <br />(', �� G - � ' J •• <br />^ '�r�./� c�Y•vn w,� _ • <br />r ! - � <br />y,-..i.if�` ii���. <br />/_„- c _ — / <br />i /'�� <br />, �,�.- ,�,r���r.�t � i',��c�i���--�J I��.X f-/PIDfJ�/� �/; �- /--.����s� �= , <br />fc�Ji.� � ,t�rfiL , is/L�/%r��t'h'- <br />/�1,�r,Prfi - �ir'%fr ��i�f-Y,B� 3 d � �� �5� zl, � <br />�'G—_ � �'G �C� <br />',�P�'�.��o� C'Gi'/lSG,f�ts�,F�rf��`%s 'S z� s <br />-��` F,'�G✓'� cG T 9; N� �� � f'��-i�9£:Fl,�T TG �G r 5 27� Z�: <br />z7�� <br />f r{'Gd�( LG � 5 z�� Z6 <br />ftl ��/ i/'� �iFv�c�?-i�i'J r�� T��is -� irlc �s u�l.P�r9�� �B�z= <br />G.�T �id �9.�JD ��'n�/'�,c �/�5�=n��i�.�rs� f`D� C�r1�1�2� �l� <br />c;,�Gcs T � ��l�y'�z���9 <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPIICATIUN TO BE POSTED <br />ON JOBSITE. <br />CALL FO:= INSPECTION 259-681 1 <br />24 HGURS BEFORE CONSTRUCTIOM <br />DEPARTMENT APPROVALS <br />--=�_ <br />SEWER � <br />OMINAGE <br />� <br />WqTER � <br />COM1IMUNICAT�ON� <br />� <br />TPPfFlC \� <br />l <br />pLqNNING <br />STREEt <br />; `'/'I � 'C 2J� E � <br />p yE �FOR CONSTA� �n <br />DRIVEWAY SECTION <br />� _ --� <br />j I'� LIP <br />l 30„ � �30 <br />i <br />The undersigneC uwner Oareby agrees ro holtl en0 save harmless <br />Ihe City ol Everett Irom uny ana all claims lor dameges. cosis. <br />CKpCu5E5. 0! COpSCS OI BCIi00 �n�i �Ild}' llfiSC �CCd115C OI IOSIAIIAbOO <br />ane maiNenancc ol Ihe impravement or othnr ngh4ol-way use <br />herelo apOheO �or Pntl furiner d9rees lo removc sdme upun nobcC <br />Irom Ihc City an0 to replace Oubl¢ pwperty tlamngea Ihe�c�y. <br />/ ,, <br />� �. � '. <br />" � ' ., J/ . . _ `� <br />Si A1U�E OF APPIICANi <br />iLIF�'��ONE NUMOER AL�ERNALE <br />