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l � <br /> ii <br /> i everetl <br /> '� � _ APPLICATION FOR RIGHT-OF-WAY USE PERMIT /�^ <br /> Type or print clearly wi�h ink l� 1 <br /> PRESS HARD - YOU ARE MAKING COPIES ��� � <br /> II PUBLIC WOfiKS <br /> i EVERETT,WASHINGTON PER�v11T NO.�r � <br /> � APPLICANT (UNDERSIGNED)AND FIRM REPFESENTED. IF ANY: �/I 1 i�I � r �--} �-� ��� � � �^' � -�_.�i i-. °i.'�-" r <br /> i, /� , <br /> II HEREBV APPLIES POR PERMISS�ON TO ' � -I ti � •-I ti i=/-�i� I.. %� <br /> � <br /> I ` - '' 'r-; <br /> jAT THE FOLLOWING LOCATION�1��� �� �-� i������ �� �� � �� �- � � �'3 �� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> �I io' l� 1,c) �- L/b ? <br /> I <br /> � <br /> � <br /> DRIVEWPI SECTION <br /> PERMIT IS VALID FOR 60 DAYS � --� I <br /> I� COPY OF THIS APPLICATIdN TO BE POSTED i" uP <br /> i ON JOBSITE. �3O" _�_30" <br /> CALL FOR INSPECTION 259-887 7 <br /> 24 HOURS BEFORE CONSTRUCTION rhe undersignetl ownen c�reby agmes to hola nnd save hermless <br /> Ihc Gty o� Evewll Irom any antl ell claims lor tlemages, cosls, <br /> � e.penses.or causes ol eclwn t�at may arise becnuse ol mslallabon <br /> � ana mainlenante ol IM1e improvemenl ur olher r gh��ot-way use <br /> IM1erelo aPplietl lor antl�w�he� ngrres lo�emove Same upon nohce <br /> � �rom �M1e C��y ana to re0lace pu0hc p�opeity Oa�naged Ineieby. <br /> II DEPARTMENT APPROVALS <br /> i I <br /> SEWER GOMMUNICP1iON5 I <br /> � <br /> I <br /> OPAINAGE TRP(HC `� . •.. -• <br /> ' � ` � __.I \I I� � _ l � <br /> WATER � PI�NNING . � SIGNAiU E Of FFPLILANt . I <br /> ., r <br /> � 1 � � I � <br /> STREET ' RD�AE55 ' <br /> �`. �! I . — �. A � � <br /> CITY L�P <br /> I 1 <br /> I APPqOVED FOR CONSTRUCTION �aTE � ' i' � ' � ' �� ( ' ! �i <br /> � <br /> I � tELEPNON[NUMBEH ALtERNFIE i <br /> � ' / 1 � <br /> ( APPROVED AS CONSTRUCTED DATE "°�� �� <br /> I i <br /> � ,,:i�� �C�� !lc��ii�c , � �, -- -� — ---- —1978 <br />