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I <br />� <br />� �i� C�\ <br />Q APF'IICATION FOR RIGHT-OF-WAY USIE PERMIT <br />� Type or pnnt cb�rly with �nA <br />`/ PRESS HARD - YOU A:�E MAKING COPIES <br />PUEIIC WOAKS <br />EVERETT, WASMINGTON � PERMIT NO. % '�% / <br />APPUCANT (UNDERSIGNED) AHD FIRM REPRESENTEO, IF ANY: �? 1 v� 11)d! c T C�l� � <br />i <br />HEREBY APPLIES FOR PERMISSION <br />AT THE FOILOWING LOCATION <br />DRAWINO (WORK TO SE DONE) OR THREE PLANS ATTACHED: <br />� S� t G„ <br />� �M� ��-G <br />hGr�S w <br />L '" �`r � � _ -------__ <br />.l c <br />��. <br />C/DW~ f <br />�/O G/� � <br />.�.�i � r - <br />�^ U <br />0� ��. Pp- � <br />M <br />-' � <br />� O "' <br />ry0 � <br />Cpy°,�� w,r/ <br />jo �,I� � �` <br />, // �O ✓1 <br /></-N-+ <br />4 <br />. <br />' _ <br />.— <br />.� <br />i <br />i����� 's. � <br />i� �.,-. .• � <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. -' <br />`CALL FOR IN8PECTION 2a9-681 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWCq <br />DR�INRGE <br />STREEt <br />DEPARTMENT APPiiOVALS <br />COMMUNICATIONS <br />TRRFFIG <br />PIANNiNG • <br />- I�� . . .. 'P <br />� <br />w � e� <br />�.onM�e °� �% <br />s� <br />,L�ack �+� r� <br />� <br />Ut //R�+CG p/E <br />6u S�a� <br />� <br />DRIVEWAY SECTION <br />w-' � <br />I" LIP <br />3� � — T'30 �j <br />The undar9igneC owner hereby egrees lo hold antl yeva �a:mleas <br />ihe City of Everett Irom eny end all cleims for dameges, cosls. <br />eapenses. or causes ol acbon Ihat may anse Geceuse al instellelion <br />antl meinten6:�ce �I Ne Improvemenl or other noht-obwey use <br />herelo apPlied lor antl �uriher agrees lo remove same u0on not¢e <br />bom Ihu City an0 to replace publi< pro�erly Aamaged t�ereby, <br />; <br />. C rf- /�/� yk�,3 <br />� LrtV " J 2iP <br />APPR NED FO CONSTRUCTIO� DAT� E ��- ' �i `� �'I L� _�'�J 7 y <br />1ELEVnO E NUMB R A�LERNATE <br />. ... .._. _ .. ........ . .._......... <br />Y... .T I is; �,��.i � YTI:) tU� 3 d'O <br />APPROVED �5 ('ONSTRUCTED Mte .. .. , �.i,:'�i Dnr[ <br />�T <br />