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� _ - - - - i <br /> I ' � <br /> ;.. . I <br /> everen <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT I <br /> � Type or print cleady with mk <br /> �� PRESS,HARD -YOU ARE MAKING COPIES <br /> PueuC WoaKs PERMIT NO. U�/�Z I <br /> EVERETT,.W ASHI NGTON / <br /> IAPPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: Ut /�N � "-'��rA'e� <br /> I HEREBY APPLIES FOR PERMISSION TO � � �� � F �7�� � . � <br /> J <br /> L/�i.tl r�noss t/rr.c_ Nl� P <br /> AT THE FOLLOWINC LOCATION �J�9 ln/���� �� F�F'�'L r, �J� �&�O / <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> �, <br /> �/ �� <br /> / � <br /> � % <br /> � ? / <br /> .� � ' <br /> I -- / <br /> � ; <br /> .� URIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � ---� <br /> COPY OF THIS APPLICATION TO BE POSTED i" uP <br /> ON JOBSITE. _L3o"J <br /> � CpLL FOR INSPECTlON 2'S9-B61 1 r3o" I <br /> 24 HOURS BEFORE CONSTRUCTION Tne undersignetl owner hereby agrees to ho10 antl save hermless <br /> Ihe City of Everetl Irom any and all claims �or dameges. cosis. <br /> eMpenses,or caU5e5 0l Bclion Iha1 may arise betaUse ol in51BIIBiio� <br /> an0 maintenance o� I�e improvemeni or othet nghbot-way use <br /> hereto aDP��ea br an0�unher a9rees 10 remove same u0o��nonce <br /> imm Ihe C�ty antl lo replace pubhc pioperty 4amegeA t�ereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNiLATIONS . <br /> 1RRFFlL <br /> DRAINFGE r ��� � ' / 1'-__ �� <br /> O� <br /> WATER PIANNiNG (: I `1 �`�•� ', ��� SIONP IRF.OfAPf'LiCANt v <br /> �.3'D"y, ' �'�JO !� ✓L. . <br /> noo�ss �-"�% 7 <br /> sri�eer-� , / •�,�n � , tisP.+� c-��� .1�a-r-"E- • 98ao / <br /> 1 j ( ' . ry <br /> a*v <br /> .., .�Id u��-�'S�o / <br /> A PROVED FOF N$ RUC ION �ATE �T'��I.� : - q�iEAN��� <br /> � � ..�iREf ENUM�E� <br /> QS��o g l8 � 1 �'��'�� ,,,;,J ;���,/8'� -- <br /> onre oniE —' <br /> pPPROVED AS CONST CTEO . <br /> CONSTRUCTION/AS BUILT �EE 1978 <br /> J <br />