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i � i <br /> Ieveren <br /> APPLICATION FOR RIGHT-CIF-WAY USE PERMIT I � <br /> e � , <br /> � Type or print clearly with mA <br /> i PRESS HARD - YOU ARE MAKING COPIES <br /> � <br /> PUBLIC V:ORKS / � � /' ' <br /> EVEFETT,WASHMGTON � jj�/ � PERMIT NO. ' �-� � i <br /> �i / <br /> AFPUCANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV��` �1`��"', - `' '��'�"'��fc r�f/CEY�/1/�CnL`�D ' <br /> // 7 r`,' � 7 ' <br /> I HEREBY APPLIES FOR PERMISSION TO A!�72 (aC�C/��o � ��G � /✓f�MC�I� T�ZLL�� I� <br /> li u/(/ /T <br /> i <br /> 'i AT THE FOLLOWING LOCATION�CV�1 ��r �>L �I <br /> � DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> }p nelc.��� l� �o�ic �n-F., c.._ <br /> `��Gr1-F.��y s ��: J � � <br /> 1�U.. It15c, U+' �GrGI laJe. PR[ r�tn�� I <br /> � <br /> �� G�r �dtwu� Cc� 15 . � <br /> i <br /> � <br /> I <br /> II <br /> II� II <br /> i <br /> i <br /> I <br /> �I <br /> il <br /> I� � <br /> li <br /> � i <br /> �I�� DRIVEWAY SECTION I� <br /> i <br /> � <br /> � PERMIT 1S VALID FOR 60 DAtlS I� -� ' <br /> I <br /> � COPY UF THIS APPLICATION TO BE POSTED (�+ i" LIP , <br /> ON JOBSITE. �30�� � �30" <br /> �� CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION 7he unaersigned owner here�y agrees to holE and save harmless <br /> Ihe Cily ol Everell Imm any an0 all clalms lor damages, rosts. <br /> ! exprnses.or Cause9 0l nciion�hal may arise betause ot m5iallahon <br /> ', anp mdmlCnance 0� Ihe imprOvemenl 0� oihe� nghi-O��way ose <br /> �eicto aOPlica lor and luriher agrees Io�emove seme upon nol¢c . <br /> i Iwm t�e C�ty and to replace puElic O�operly aamagea Uereby. ' <br /> � DEPARTMENT APPROVALS <br /> � ' <br /> SEWEA COMMUNiCAT�ONS ; D I <br /> �I � / i <br /> *RAfHC �� I <br /> I DRAINAGE -- y.... . ., h I <br /> 4._ _ . !'\ <br /> WqTfP GLANNINO � � . - iG NTUBF i APPIICANi <br /> , ... . " � �,� _._ -� /GCiK \ �� <br /> a E55 <br /> SiRE[T <br /> J� �UE) �t /7 \,��ZOrc <br /> ':�- / //- / — D crt. zin <br /> APPNOVEO F CONSTHUCTION DRTE �� � ���� <br /> I ` TELE�'MONE NUM�ER ALiLPN/.iE ' <br /> � ' '�\_ y/r�1 <br /> � ���J <br /> � �� �� ��`�� �F�tt ��� '� ��� ore � on.e _ _ I <br /> �i FOV ASCO S CTED <br /> �i r'C:?..�iil�iC�liOf�%;1SGU1l:i �n. ---- -- �- - - ---1978 <br />