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ererell <br /> Q APPUCATION FOR RIGHT-OF-WAY USE PERMIT s <br /> VType or print cleerly with ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGT011 PERMIT NO.� /� 7 <br /> APFLICANT(UNDERSIGNED)AND FIRM REPFESENTED, IF ANV: �^.� �-Z�c Ie7 v <br /> _' ^'/� — <br /> HEREBY APPLIES FOR PERMISSION TO �� �� ���•-r<.,L�� � �� - � � _ -:;�-r1 L�-,.�`�� �i_ ��-i_�.�,,�,.: , ,! <br /> �. �� JC I�T� :� � :I' C..� r <br /> . .,.. ' A , ` ' .. � � �i� 7 �^���, <br /> AT 7HE FOLLOWING LOCATION J ��' �ti � � r��. '� ��i `��c- .S �I/.� S`C <br /> DRAWING (WORK TO BE DONE) OR THREE PI_ANS ATTAC� <br /> �°.�� �,(�1�J5 /��./°rPD d,���.D.�9� 5/.3�/� <br /> DRNEWAY SECTIUN <br /> PERMIT IS VALID F'OR 60 DAVS � _ <br /> COPY OF THIS APPLICATION TO BE POSTED r� + �" LIP -�� <br /> ON JOBSITE. - <br /> CALL FOFi INSPECTION 259-881 1 �•30� - _ .__.�.,30" <br /> 24 HOURS BEFORE CONSTRUCTION <br /> ihe undersignetl owner �ereby agrees lo�ol�antl save hnrmless <br /> Ihe City ol Everell Irom nny antl atl claims br tlamages. costs <br /> •�p�=nses or wuses o�xhnn Ih��mny an5c betausc ol inslullnhon <br /> . . .'rtf mainr�•r�inc�• ol Ihr mirrovemi�nl o� o�nrr nnhLOLwnv use � <br /> - - rep. .il`U��.r .. . , .r iu�IC�� ����ers lo u�nue���dm" uP�:n nn�irr <br /> har� p�., Gril .n.l L> ��,placr 1`uhlc n�.'Poil� tldniqUvd tnrrrl+l' � <br /> DEPARTMENT APPROVALS <br /> SEN'EN � COAIh1UNiU��C', ' �� � <br /> /_—. ' % � <br /> DRAINAGE �� iRPFFlC / • . .', . <br /> � <br /> \ /� ��7/c"�!/Y. � 1! <br /> NTiCH .^�nNNM� SIGNniuREO� nt'c�iCnNi --- --- � - -' <br /> SirlcLt nllon �� ��� � ..� �'����—`— I <br /> " � � �� <br /> C�_--��—�` �`�`� � � `3��—�- � � _ - . ��„ � <br /> na oVEDFORco T ii0� on � " ""' <br /> � � . � FI = 2- <br /> � G / / TEL I�ON NUAI[f[q AUEHNFIL <br /> � /c.], . �A"�k��✓(.�/ �7�/ /Y�� /r_i 1 ) <br /> APPROVED SCO TRUCt�p— � pq o �. /(� � — — <br /> . . . .. . __ .. _. __ ._ . . — ___ " <br /> . . ��� ._ __19r'f� <br /> � -._ . <br /> . �- "?wf$ . . � � .�: 1 ��. <br /> � r, ..yr. � ...�..._ . .... . �,y�� <br /> v^ 4•. <br /> ::ixi ' r.. .i�iV�"" . <br />