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, <br />� i ..►. ..•� i <br /> • evercn <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMfT <br /> � Type or print clearly with ink <br /> `� PRESS HARD - YOU ARE MAKING COPIES - <br /> PUBLIC WJRKS %���/�l--'' <br /> IEVERETT,WASHINGTON PERMIT NO. ' <br /> AP�LICANT (UNDERSIGNED)AND FIHM REPRESENTED, IF ANY:. <br /> 1 <br /> HEREAY APPLIES FOR PERMISSION TO—� /� � � <br /> 1 � <br /> i <br /> "'-kT THE FOLLOWING LOCATION � 3 2 Z A `� � ( � P /F S'� <br /> 4'-� -fJ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: � I <br /> � <br /> r- ` � �l '� � � � <br />` �� , � ,��.�f� � � i� �. <br /> y� � : <br /> �� � <br /> /-1 �- � � L b^�',_ J � f,C ' <br /> Yvc- � o ✓ ' — � <br />� �, <br /> ,�-� � c U� '��. i� v�/ �� I� �, �- Y ay�,� �� � <br />� � % <br /> I <br /> ; <br /> i <br /> ; <br /> � <br /> � � <br /> ; <br /> � <br /> ; <br /> � <br /> � <br /> ORIVEWAY SECTION ' <br /> , 1 <br /> PERMIT IS VALID FOR 60 DAVS � --+I � <br /> F COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ' ON JOBSITE. I 30' I .�-,�o".� ', <br /> CALL FOR INSPECTION ZS9-81�. 1 1 r '1' <br /> Z4 �"��UR.S BEF�RE Ci�N$TAVCiT��I� . �. . � Tha unde:r�pned owner hereey egreea to hold end eeve hermleu <br /> '� � t�e City of Evartlt Imm eny end all cleimn lor tlameqea. costs. <br /> axpenses,or causes ol eclion I�a1 may erise because ol instaliation <br /> an0 meinlenence o� t�e improvemen� or ot�er right-ol-wey use <br /> � � nereto a0���e0 br and lurther a9rees lo remove same upon nol¢e <br /> Irom Ihe City xn0 to replace puhhc pmperty tlemageG t�e�eDy. <br /> DEPARTMENT APPROVALS <br /> S�N,ER COMMUNIGTIONS � <br /> � <br /> ORAINAGE TRAFFlL �i�Z // � �� <br /> � 7%Y%�� ~ <br /> WATEN PL�NNING SiGN�TURE OF PPPLIC/Nl 1 <br /> sv�� - �.�� s �. <br /> STREET ADONE55 <br /> / � / ,_ �vE2cTT�vrr� 9'F�oy <br /> �j._. C /,.,�'�:.y s,l� – Z-� ci,� / ziv <br /> APPROVEDFO CONSTRUC ION DATE �'l�� J I �� � <br /> TELEFMONE NUMDER qLTERNRtE <br /> Se�r y- /_ 8� <br /> AP SCONSTRrC ` TE onTE� <br /> 1 <br /> CONSTRUCTION/ASBI�ILT �Ec 197A <br /> :'T�<+.. . . ; . <br /> � -:::;q . . � . <br /> ...,i.,. . - . _.,. � . • <br /> I <br /> � <br />