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. � i -- i--- ,. <br /> s • J , / <br /> ' _f <br /> everen <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT.WASHINGTON PERMIT NO. � / � <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO <br /> AT THE FOLLOWING LOCATION �I� �J I�I�JI F S� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� <br /> E <br />� <br />� <br />� <br />� <br />� DR�VEWAY SECTION <br /> 4 PERMIT IS VALID FOR 60 DAVS � � <br />� ,^ COPY OF THIS APPLICATION TO BE POSTED <br /> I" LIP <br />; ON JOBSITE. <br />� CALL FOR INSPECTION 2s9-881 1 i=30•T L3o" I <br />' 24 HOURS BEFORE CONSTRUCTION <br />� The unEersigneA owner �ere0y egrces to holtl en0 eeve hermlesa <br />' t�e City ol Everett Irom any end nll cleims lor tlemages, coats. <br />�� eapenses.or ceuses ol action ihat may eriee because of instellalion <br /> and mamtenance ol Ihe improvement or othei ng�4of-wey use <br /> he�eto applietl lor end luriher agrees to remove same upon notme <br />� Iwm �he COy an0 t0 replaCe publ¢ proDerty EBmegeO Nereby. <br /> i <br /> DEPARTMENT APPROVALS <br /> 1 <br /> SEWER COMMUNiGaT10NS <br /> IORAINROE TRAFFIC ///��� <br /> I WATER PUNNING SIGNATURE�� � w� � <br />� /G.� y /�3�..�_�, <br /> STREET ADDRE55 <br /> �, , _ � , �....� s�j�, <br /> , i �- ., , ��,. z�P <br /> A OVED FOP ST CTION l' . DnTE ��-' � �I�J.�/CG � <br /> TELEPMONE NUMBEq q�iENNAiE <br /> n.,..,_— � � (i\; .' ,.f�J CJ <br /> APP D CONS TED oniE .,., pnr[ <br /> � CONSTf?UC1"ION/AS,�UILT FEE 1978 I <br /> _,. <br /> � <br /> � <br /> �t _ <br />