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i���.�, <br />Q APPLICATION FI�R RIGHT-OF-WAY USE PERMIT <br />� l"ype or pnN c�eerly mth rik <br />�� PRESS EIARD - YG� ARE MAKING COPIES <br />PUBLICWORKS PERMITNO. � �.��,— <br />EVERETT,WASHINGTON <br />APPL�CANT (UNDERSIGNED) AND FIRM REPRESEN�IED, IF ANY:�� N� i I� �'' �"� �� �` "'� - <br />r, - ;, ,;,.nl �;/ <br />HEREBY APPLIES FOR YERMISSIOI. TO � ��' '—,-� �1=�� , � � � <br />1 i' I <br />� <br />AT THE FOLLOWING LOCATION *' ' � ��= �� �-� � � � , � � � � '} (�S �� <br />_ -,e,�r� — <br />DRAWING (WORK TU BE DONE) OR THREE PLANS ATTACHED: <br />I _ l <br />', � i �� I 't. �-i t �, } T l-7 I'� ! - - C �_. , . <br />l r j t-1 1 <br />` ` ."..� :_. r I <br />..... '� L /�:� ; .. .- �1 !� � i, •.J"t��C`_, l`• l-. r_'\ 1 �_''., i <br />,� ,. �C?'J�1_� 1 1�`t �.,/ � C-- :?I 7'�<� ,1 t c L� � <br />I(\I f-I:��ffi='� L. � <br />, -�. � �'- -, r '_ �` ,,= ? r I ,� <br />�'- %•.I �; � l L L i)`-�T :. X C L t.. I . <br />,— y, , <br />_ � . . -7 .' i '—'� . �-_. ! . <br />, � ,_ , , _ � � -- _ <br />� a� �� ,,� S <br />� ,a��� <br />��9 <br />23 � ( � ��,,,,�"` <br />�' � �.� <br />� <br />PERMIT 1'S VALID FOR 6Q �AYS <br />COPY OF THIS APPLICATION TO L'r PdSTED <br />ON JOBSITE. <br />GALL FOR INSPE�TION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />OPmI.AGE <br />WATER <br />DEPARTMENT APPROVAI_S <br />COMMUNiCATIONS <br />TRAFFlG <br />P�pNNING <br />(7 � ��— 7��3/so <br />APPROVE OR CONSTRUCTION on E <br />APPROVE� ASGONSTRUGiED 0/•iE <br />r��r� in�. i �:sr�cTioN aF�ur_sTr �� <br />DRIVEWAY SECTION <br />� � I" LIP � <br />I_ 30'y 30"_I <br />r -�- 'i <br />The unAersigncd owner here0y egrees �o �Oltl antl Save �e�mless <br />Ihe City o� Everell Imm any and all claims 1or Eamnges. cosls. <br />e.prnses or causes ol aaion t�al may anse Oecause of installat�an <br />and main�cnance O� ihe �mp�ovement or olher nghi-ol�way use <br />lierelo apPlmd for an0 furlbe� agiees 10 remcce samr upo^ nm¢e <br />Irom Ilie G�y antl to �e01aG` puhLc pioVP��Y �Tmaged Vteie�y <br />/ . ,. / - .' ," <br />�—�t i_./.^�"� 11i}'�' <'d4� T'= !—� <br />$IGNRIUAEO�RFVL�CAN � . <br />.:-'—' ,ji!�.: �:.�r �1 <br />nooness <br />� : f �_�" I�-�--'/ <br />LIiV Z�P <br />� .' I . � !� i 'J _ ::- � ° . / . _i—_ <br />IEIEPMCNE NUMBEF ALTERNFiC <br />� ' / i ; " �% ' !� �, ��- � _ <br />DAIr <br />rt:. <br />