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everetl <br />Q APPUCATION F�.l� RIGHT-CF-WAY USE PERMIT <br />V� Type Or prini C1„arly with mk <br />PRESS HARD - YOU ARE fvIAKING COPIES <br />?UdLIC WORKS <br />EVERETT. WA£HINGTON PERMIT NO. � � <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: ✓I�JI (� � C A,��-�r <br />HEREBY APPL,ES FOR PERMISSION TO_ -G �ti/ OT� Z� F� � GON G �� <br />AT THE FOLLOWING LOCATION �" %I U V l`j-TQ rL, � � L.v i Z` �� q��� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMiT IS VALID FOR 60 DAYS <br />COPY GF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />> CALL FOR INSPECTION 2:59-881 1 <br />24 HO:1RS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEN'ER COAIMUNiCniiONS <br />DRqINRGE iNAFFIL <br />\VATER PLRNNING <br />stnEEt <br />() � .J <br />�G� <br />DRIVEWAY SECTIUN <br />j I., LIP —�� <br />30" �—_ —_�3C"� <br />7he undersigned owner hereFy enrees to Ywl� an0 seve Rermless <br />Ihe City ot Everett Irom �ry anG all ci�;ms lor aamages, cosls, <br />C�pep505. O� Cdu5C5 OI 2CbOn Ih�� m2V qfi5C �CCduSC OI m5�elldbOn <br />ane maintenane� ol I�e improvCmeM or ulhCr �igh��ol-way o5e <br />�erelo appOeE lor anC luriher agrees to removr samc upon no�i�e <br />Imm Ihe Cny an0 to repla<e pvblit prcperly tlamage� �nereby. <br />�sa-a3�� <br />iEL[PHONE NUMNEH ALiEPNPtE <br />L.Qi'�:��.I�it1;;�1�Yf��,. ��.�'�I_I �lC - __ _._--__ <br />�9%Q <br />