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- �`, <br /> � <br /> eren <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Typo or prin�Cleedy wlth mk <br /> PRESS HARD - YOU ARE M.4KING COPIES <br /> UBIIC WORKS <br /> EVERETT,WqSHINGTON PERMIT NO. f1 Z�oS— <br /> Ar PLICANT (UNDERS�GNED)AND FIRM REPRF.SENTED, �F qNY: "Y�C�_�(�.��/L � <br /> IHEREBY�1PPLIES FOR PERMISSION TO �- �ti��_�_� � 1� ��_� <br /> ATTHEFOLIOWINGLOCATION -/ � J` _� - l� �h/� �;: �� / � , y <br /> DqA1YI�IG (WORK TU BE DONE) OR THREE PLANS ATTAI:HED: <br /> � ' / I l .1 � <br /> l�� n f , .l, �/L'^0.tD �9�i�L-i n��i�,�aV t ,� 'r_P.--. � r �.y ��r <br /> � � l�� � L l[1 V %"� I � 1 � • <br /> ) <br /> I <br /> I I <br /> f <br /> I ' <br /> I <br /> � <br /> I <br /> I <br /> I <br /> � <br /> � DRIVEK'4Y SECTION <br /> i <br /> PBRMIT IS VALID FOR 60 DAYS � � <br /> � COPY OF THIS APPLICATION TO BF POSTED i" LIP / <br /> ON JOBSITE. <br /> �CALL FOR INSPECTION 259-881 1 �30 �30"� <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The untlersignetl owner hereby agrees to hol�antl save harmless <br /> Inc City ol Everett fmm any antl all clalms lor dnmages. wsts. <br /> expenses.or eauses ol eetion Ihal may anse�ecnuse ol m5inlladon <br /> � aod maintenance ol I�e unprovemrnl or ot�er n�M14o1-way use <br /> Ocrclo aOP��ed lor antl li�rthe� agrees b remove samc upon nol¢c <br /> I DEPARTMENT APPROVALS ��om ine cny a�a io mplace publ¢ moae�iY anma9�a me«ey <br /> I SEWER COMAIUNiCAT10N5 �, / /� I <br /> j �% �/ � <br /> , / ,. <br /> � DRAINAGE iRAiFlC • //� / ' j <br /> I / /i <br /> � 1YnTER ,.i// ,I'/��.• ' � ��tlll/f.�rr— <br /> PLANNING iGNRTUBEO �a�vCiC�N� -- <br /> k . '%• <br /> STREET � �����'� <br /> AODRES: <br /> ( � ..y.� �� i,' . � " �'i/ : �� <br /> ,r'� �A ' �' (- <br /> qTY — Z��, <br /> APPROVED FOR(,ONSTRUCTION nniE � � � j : ' I <br /> � ��' . • : tn�z[ � %/li <br /> TELCFHON NUM/pE�� C1IAOGEJ�c /'���ANatE <br /> ' ^ / �:(i� _ .—_./+ I <br /> APPROV[D AS CONSTRUCTED OatE '' r �'/ � <br /> Ioati ���i���_--_— —�- I <br /> . �'��.�'�I_ I'. ,. . .. . ... � .,., . . _ � <br /> .. _. ..____ <br /> . . . . . �i� ' _" __ . _ _ _ "_' <br /> 19%$ <br />