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` <br /> eren <br /> � APPLICATIOM FOR RIGFlT-OF-WAY USE PERMIT � (� , <br /> Type or prinl cleatly with mk � <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> UBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO.�y ZL� <br /> APPLICANT (UNDERSIGNED) AND FIRPA REPRESENTED, IF ANY: 'rJ � 1 / fJ(��(L � <br /> HEREBY APPLIES FOR PERMISSION TO � /1 A i! .%J �Z rl—�T �C� G. � ��� <br /> AT THE FOLLOWING LOCATION / L � �r � r� ���'% �' l �/ � � � � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: � <br /> � ; � - L:;;:wt1' �C..t� .,�v i , . �c., ,� 1 : ;��-1 r�/`� , <br /> �'i ���^� .D ��O U cJ,:-� 1 .-i '� � • . <br /> � <br /> I <br /> � <br /> I <br /> I <br /> I <br /> � <br /> � <br /> I <br /> DRIVEWAY SECTION <br /> � PEIr1MIT IS VALID FOR 60 DAYS � � �' <br /> � COPY OF THIS APPLICATION TO BE POSTED �- f i" uP <br /> iON JOBSITE. 30 ��� �30" I <br /> � CALL FOi3 INSPECTION 259-881 1 �- T . -�'1 <br /> � 24 HOURS BEFORE CONSTRUCTION The untlersigned owner he�eby agrees to holtl and save hnrnlrss <br /> Ihe Cily ol Everelt h?m any and all tlpims lor tlamages. rosis. <br /> CMpCi1505.0�CLUSCS 01 F:hO�Ihdi rtldy dnSC bCC0u5C OI i�:dIIAUOfI <br /> anC mdinlenance ol IhE �mp�ovemenl or olher ngh4of-way use <br /> I hereio appLetl for Ontl�dr��er aqree5 to remove 5dme upon n0iite <br /> � Irom t�e City �ntl to replace public proVerty damngetl Inereby. <br /> i DEPARTMENT APPROVALS <br /> I ; � / �, <br /> I $EWER COMMUNICRTi0N5 % <br /> / �// <br /> IpRAINAGE TRAFFlC /�! � �. <br /> ' .i!f � '-i.� ,�tf�/ <br /> 1VATEB PLANNING �GNATUFE O A�'�'l1CANi ' ' <br /> �I , <br /> � r % �����-,� <br /> STREET A�ORE55 �_� <br /> J � i/ i L <br /> .� / I ���,P l,i r l I <br /> CIiY I�P <br /> APPROVED FOR CONSTRUCTION �nrE . � ! �/�' � . �`�/I <br /> ..� �Ct2 Lt! C� <br /> 1ELEPHON NUA/�g E�� p111 O�� �LIERNFiE <br /> / / �:, wun <br /> I — �� ��./� : ��/� <br /> APPROVED AS CONSTRUC7ED OAtE �AiE / ������py <br /> � iP,'ll'IALINSPECTIONREQUEoTG� �cc --�— �g7g �� <br />