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; <br /> — � <br /> I <br /> � everett <br /> I � APPLICATION FOR RIGHT-OF-WAY USE PERMIT I <br /> � ; <br /> Type or print Clearly with mk <br /> I PRESS HARD- YOU ARE MAKING COPIES <br /> ' PUBLIC WORKS �-. <br /> I � � � � <br /> EVERETT,WASHIN(iTON ' � ��' PERMIT NO. SC' O <br /> � ��i- <br /> i APPUCANT (UNDE(iSIGNED)AND FIRM REPRESENTED, �F ANY: �1��m. l-CM-� /LLE ( C L"LD � <br /> '/ � ����— j <br /> i NEREBY APPLIES FOR PERMIS5101J TO �T�7Z /'�YZ.f� .V`- � C /�'E�JoT� T�ZL�7� � <br /> I _UN/T <br /> � AT THE FOLLOWING LOCATION�1 /�T /�7 �� I <br /> I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> i ! <br /> I `��Gr�t:iu, s4r:P -�-o c>xlco.N �, �e�ncJ r��+.:� I <br /> � � I <br /> � ir'O.. I1��c. O� D.1Grc� �aJe Pccr'� t-.�i� I <br /> �/ , <br /> i.7P�UEWGN C6���$ , <br /> 1 I <br /> I <br /> I <br /> � <br /> I <br /> � I <br /> I I� <br /> I I <br /> i <br /> � <br /> I I <br /> I I <br /> I <br /> II I <br /> i <br /> DRIVEWAY SECTION <br /> i PERMIT �S VALID FOR 60 DAYS � <br /> i COPY OF THIS APPLICATION TO BE POSTED �,� ��P � <br /> ON JOBSITE. I <br /> �' CALL FOR INSPECTION 259-8a1 � �30"L �30" <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The untlersigned ownen c�reby agrees to holC anC savc hnrmless <br /> � mc Qty ol Everett Irom any ana au �laims lor tlamages. cosis. <br /> erpenses.or causes ot Pction ihat may anse because ol mstallalion � <br /> � antl mainlencnce ol Ihe improvemenl or other ng�bol-way u5e <br /> ' �ereto eppiie0 Im antl�urlM1er agrees to removc same upon nohce <br /> DEPARTMENT APPROVALS �,om me Cn� a�a io .epiace publ¢ property Eamaged ��eieby. <br /> i <br /> ���, SEWEP COA141UNiCniiONS � <br /> . � I <br /> I GFRINRGE 1RAFFlC . . � (/� � �• <br /> .�... G_. �w�- . .\, ;�. . <br /> I WATEfl PLRNNING � . . - � iG AiUP i PVPLiCANt - �� <br /> L � <br /> STREET . .- l .. , ��.�: 1 � <br /> p A���� - <br /> � % L�C-�E J LE : 7 �/�zCrG' <br /> � —�� �. //' / – UJ c�.v zio <br /> A�ROVED F CONSTRUGTION pqlp ,i - � C��/ <br /> � < <br /> 1ElEv��ONE NUMpER <br /> � \. � ^ � �I 4UCPNAiC <br /> � <br /> � � .�.( 1�:- °�_��_� c.,1P��� �—� rC� � <br /> , IiCV�D AS CO S q CTED , pqTE DnlE --� � <br /> r.,_ :::: ; i�uc-rion��ns rui�r „—F— ---- -- <br /> ���,., <br /> -- <br />