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�1 <br /> � <br /> i <br /> i <br /> � <br /> I !Y!Il�1 <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> vType or prin�clearly wlih ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PERMIT NO. `w "�� <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANV:�flDI 'f�� C 1 n S _ <br /> ` �i- �/ (/ <br /> HEHE Y APPLIES FOP PERMISSION TO ��� � � >�� ��`'/[" 1^S �� /���f �`4 �� �i��y T Sc yr� <br /> ��,� .,, ,,.��C ,�'; a7 3/ �� c/�ir �Y.c ���/'S '��f79,L , <br /> AT THE FOLLOWING LOCATION � � J� �k. [ /�P/ �(I�4_ � ✓FYtTT <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � � � Iti'� <br /> �i�'n���° �I' — ___ _ . <br /> _... _ _-- — - � <br /> � _. .. _ -- ------- <br /> ---+ <br /> i i <br /> � ' �-�,� s = i s �v <br /> � � � y�9 <br /> � <br /> , � <br /> � � `�� i <br /> , y <br /> C <br /> i _ `� <br /> 3 � <br /> � <br /> � . <br /> I <br /> � `�_,�.��J s ,�r y,, s <br /> �� , _ - <br /> ���� � �� � ---1 �� y . <br /> :� � <br /> � __ <br /> ,. -------- <br /> , <br /> ' � �) ' �� ';� `'• : t`.� ' <br /> I ' ��, ,�.._f ,, �-h-tl ,-,.� ,U�,�.� ,, <br /> ` � ,� fl,� � , ,,_ ��!r—"�: ..� c,� ��'�"� � <br /> � � <br /> � DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> CbPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> OFI JOBSITE. <br /> CALL FOR IPISPECTION 259-867 1 �30" } __�30" <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The un4rrsiB�ed owner hen:by ag�ces lo hold nnd seve ha�mless <br /> �he Ciry ol Everell Irom any ano all claims br Camages. msls. <br /> ¢M(1MSCS.OfLdU5250�dC1i001hd�mdydllSC�¢C205COIInS�TIIdIiOn I <br /> � � antl mamtenance ol Ihe inF�ovement or othcr righl�ol-way use <br /> herelo applied lor anU Iwiher agrees�o�emove saine upon no6ce <br /> � DEPARTfV1ENT APPROVAL$ ��om me Cny ane to repiace nublrc piopeny aamaged meie�y. <br /> I56tiER CUMA1lJNiC4ilON5 <br /> � '. � � <br /> ORRINRO[ iPnFFlC C� % <br /> I ��V'� )��� . <br /> I \Y/TER PLRNNING SIGNAiUAE O�/��LIUN1 <br /> , �G 5 z � yG .�.�.� 1 F i <br /> �I S,AEE. ApWiE55/�_A— �.J I <br /> i �•� �. . }; ��I �[nt � � <br /> � . � i�,t_� � � :�,�.i�. �j — � — " �/ cirr zin � <br /> �, A�PROVED FOR Q STRUGTION �<iE I <br /> � 1ELEPNON+[I�U}�1E n/�� ALIE�NAi1 II <br /> yl S <br /> '� APPROVED AS CONSTRUCTED oniE OATE _ — <br /> � ,�. . . . �n . I <br /> 1978 <br />