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.• <br />evereN ' <br />Q APPLICATION FOR RIGHT-OF-WAY UfSE PERMI <br />� Type or pnnl clearly wrth mk <br />`� PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS PERMIT NO. � ' � �� � <br />EVERETT, WASHINGTON � � <br />r � LA�� . <br />�T�_ l, ,.t.f — <br />APPLICANT (UNDERSIGNED) AND FIR'n REPRESENTED, IF ANY: �� � �� <br />��fi � <br />, - i �. .... .�,... ,-, . . — _ lr � ._. <br />HEREBY APPLIES FOH PERMISSION TO I,:r <br />�a <br />��� 5 n� '--� "' �;1,�. <br />AT THE FOLLOWING LOCATION . <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />µo <br />�,fo5 5 <br />m <br />S��ee.�- t�ro �e w.e.,.�s �x�ai— <br />�e ��1.��� �\ �1� �iIt:J2./�ry <br />1 �� � <br />�^N�r lh <br />, we �,,,.11 <br />_ � <br />1�/flJ! W►��-�y (AtiM�1� b�C �� lK <br />K�e t dC s iYe c.� ,..,�rv -/tw•...JF �a10. K. S <br />��r t�o�-�. <br />�a `Q„ � � �,� `.Jp.lraa e o.�. � T � <br />t..r`ti.. <br />�,,..�, d���� <br />PERMIT IS VALID FOR 60 DAYS <br />C(1PY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />CAAINPG[ <br />WATER <br />STREET <br />DEPARTMENT APPROVALS <br />COMMUNICALIONS <br />VLANNING <br />APPROVE�FOR CONSIRUCTION OATE <br />pPPROVEO AS CONSTRUCTE� DAtE <br />ii�!ITIAI_ INSPECTION RGQUESTED <br />v g-� � <br />����� <br />DRIVEWAY SECTION <br />r� � t LIP � I <br />�3„��L j � 30 <br />--..f.. <br />T�e untlersigned owner hereby agreos to holtl ond save harmlocs <br />ihe City �� Everell Imm eny an� all dalms lar dnmages, cosis. <br />CspCn'_5. Di Cdu5C5 01 PLIiO'. ih01 m0y dIiSC bCCdUSC OI In5Id1131iD'1 <br />Tn� maimena���^ ol Oie improvement or other ngM�obwNy usc <br />neielo anphea br i itl fur�he ag�ees lo �emove same c0�tne e'b r <br />Iwm :� �• Gi'.y and I�, �crtice pubhc O���eiry aama9 Y. <br />� \ <br />I i: I <br />r, � <br />� �� .ti <br />'- � !s� i <br />� r ir• a f-� Q.�ti.( Id <br />SIGNAIUAEOF PVLIC< i <br />l <br />1 V �� X � 1��� — <br />AD�RE55 r� <br />�j1Alll�t �U i T L�J <br />Crtv <br />ZiP <br />�- � 'z-7/7v, <br />c � Z �c77� �E r� <br />T[LEP��ONE NUR�O[R <br />[i ��1 E.� � - - <br />0>1E <br />