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evere„ <br />e <br />APPLIGATION FC1R RIGHT-OF-WAY USE PERMIT <br />Type or print clearly wilh mk <br />PRESS HARD - YOU ARE MAKIN3 COPIES <br />PERMIT NO. 71 ��� <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOLLOWING LOCATION -3� � 9 �I G S S 4 L�� SiL <br />DRAWING (WORK TO BE DC�NE) OR THREE PLANSF�T TACHED: <br />�/y �5I��-lf��r, ve wA� � s Pe� ,6� <br />�c�,;, �"p � nr a �l <br />47�,�fiy� d'r,'va way �rv L��' <br />�3� 7'�NrcP /�-S.�r.-i��-S. <br />2 7 y 2 S, T� G r �� s�-� <br />' - /U/955✓9�f . zlt <br />D� F��DA��9d� 3v <br />Q�u�c�e oF fi?e,e,tJ�Y ��tli0�-b � �,�cE� �-�iD�r���r9ss�u � <br />HG � � �.Pr� -��.y ��Y,�- <br />af-P�odro� caP��oF�iS�����vTs T� �o�s a3�zy ar�� �, � <br />� �� z8 FRa� �a T 9; <br />Fkad� � Ts z5� z6 <br />R�� ����r�.Ur ro �aTs� z��� <br />i� �°" �*��°�� <br />� '� 5 <br />r�, ( � 0�� 1 <br />lJ" 5 5 N - r� � V� s � <br />� /o / <br />l�� <br />�� <br />'�! `i �/' / <br />� (� �� �� � ! <br />� �5 <br />/ ,� a �� e'� � <br />� � <br />�;,, u <br />PERMIT 'IS VALID FOR 60 DAYS <br />CUPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INS�ECTION 259-681 1 <br />24 HOUHS BEFORE CONSTRUCTION <br />DEPARTMENT APf"'^""' e <br />ST(iEET <br />A�ED FOR CONSTRU � E � � <br />APPROVED AS CONSTFUCTEU oniE <br />CONSTRUCTION/AS DUILI' <br />U �.� <br />�,i <br />� <br />ORIVEWAY SECTION <br />T� � <br />� +I" LIP <br />j_ 30 'i �30 <br />The undersigneA owner �ereEy a9roes to noltl end seve hermless <br />Ihe Ci�y ol Everetl Irom any end ell cleims lor Onma9es. tosts. <br />eepenses, or causes ol action t�al mey anse �eceuse ol installation <br />ana mainlenance ol t�e improvemenl or other nghl-obwny use <br />he�eto OppheO lor anU lutlne� agrees to remove same upon nolice <br />Irom Ihe Cily anG to replace publit O�oGerty tlamagetl IM1ereby. <br />/ / ,t�1 <br />$i nTURE OF APVLICINI � <br />TEIEPHONI NUMBER 4LIEANAt[ <br />