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� ��•-�^. <br /> ���fe„ APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � TYPe or priN cleady with mk _ <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> IPUBUC WORKS �' PERMIT NO.�C�/ L�!— <br /> I EVERETT.WASHINGTON -�/ q` � � <br /> /J �/!� ,,J ��___��� ' O _ <br /> APPLICANT (UNDERSIGi�ED)A40 FIRM REPRESENTED,IF ANY:� � ,�"'��-�'�" / <br /> � � � � T����� �ii N�. � <br /> HEFEBY APPLIES FOR PERMISSION TO ��'"� u �/f <br /> AT THE FOLLOWING LOCATION ��� / �����" " r�� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> I <br /> I <br /> � <br /> , I DRIVEWAY SECTION <br /> ' pERMOT IS VALID FOR 60 DAYS 1�--- � <br /> I <br /> � COPY OF THlS APPLICATION TO BE POSTEU �i" LIP <br /> ON JOBSITE. I 30' _ 30" <br /> � CALL FOR INSPECTION 259-881 1 r' � <br /> 24 HOURS BEFORE CONSTRUCTION The untler51gne0 Owner hereCy agrees to ho10 enE sevo�armless <br /> the C��y ol Everetl Irom any ana all cleimg lor demeBes. costa, <br /> e•penses.o�causes ol action that may nnse Decause of mslalletion <br /> � and mninleed Im and lurl er�rage es lo removersame pon�not cc <br /> heielo app i <br /> � Imm t�e Gty ana lo �eplace public property aamagea Inereby. <br /> DEPAFTMENT APPROVALS <br /> G�� . <br /> SEWER —z�� � •3� `� COMNU(4CATIONS <br /> � , V <br /> I' iRAfFlC . /� /O/D�� <br /> I I DP�INRGE � pl ...i / J <br /> � 1�G1 �• �'--�— $I�.NPIU�L OF PPf'LICAM 0 <br /> � T 1l--��'-� <br /> N'RTEN ..„� Y �� �w6�j' � J � � <br /> � L <br /> .. " �V�y � �y:�� noonr.ss <br /> Sr�EE. ^,� ...�.�,,q �a�W�" �-„e��� ��l�y <br /> /" � � CIiY <br /> ���� � � 0.- � L��d�� E /� <br /> pp / O RU ON � <br /> 4l1[RNP1E <br /> � IEIEPHONC NUMOER <br /> � � � ��� 3 � 7 3/aG 7�3/ — <br /> pPPROVED AS CONSTRUCT <br /> � OATL D/lE <br /> CUNSiRUCTiON/ASBUILi .ee 1978 <br />