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1 <br /> evereM <br /> � APPLICATION FOR RIGHT.-OF-WAY USE PERMIT � <br /> Type or print Cleu�y wlih mk <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> FUBLIC WORKS <br /> EVERETT,WASHINGTON /� <� PERMIT NO. � � y _ <br /> APPUCANT(UNDERSIGNED)AND FIRM REPRESENTED, IF ANY:�L� �'� C ( n S <br /> HERE Y APPLIES FOR PERMISSION TO �C�' k[� �C� ���/L��^S �'^ �"'f �� �� '����/ T" Sc H/61 <br /> �ir+� �� a* �7 3/ JCa �k<r �Yt �j/F'S '�5'79� / <br /> ATTHEFOLLOWINGLOCATION �� >� �kC '1 p/" (��'t- �✓P�"[� _ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> . <br /> 1� � I I S c <br /> (' , , ��� <br /> i�`� n�yN-�. -- <br /> - ---.. <br /> _ -- ----------- '7�j <br /> � I - --.__._--------_ <br /> , � <br /> ; �-�,� S y�9 S x/ <br /> i �� i <br /> i � I � <br /> I ' �' <br /> � <br /> J <br /> N � <br /> � � F����-�� S ''T ,> 5 <br /> , �. <br /> ���i ��� �� Y . <br /> -. . � <br /> � --- <br /> ,_ . <br /> -_---------- ,� <br /> i ' .. --� , , <br /> � ) � � u.,t{ ,� r'L� F! �=t` � % <br /> i G�L�c: Ylt1:x .,��4-� -'� � <br /> ' � � ' � : �..( : <br /> / � <br /> � �. �l,� � ��--' c � ,.�i'_ �� <br /> � � <br /> I <br /> DRiVEWAY SECTION <br /> PERMIT !S VALID FOR 60 DAYS t�. �--�7 <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. I � � <br /> CALL FOR INSPECTION 259-881 1 1�3—•t'— —�.30" <br /> 24 HOURS BEFORE CONSTRUCTION rhe untlersiened owncr he�eby agrces �o hoie ane snvo harmless <br /> Ihe Cily ol Everetl Imm anY an0 all claims lor tlamages. costs, i <br /> expenses.or causes ol ac�ion ihat may anse because ol inslallation � <br /> antl mB�Nenance ol ihe improvemc�l o� ot�e� ng�l-ol-way u5e <br /> M1ereto appLe�lor and IuriM1er dgrees lo�emov�same upon nolice <br /> II�om Ibe Gly anA to replaze Ou�lm propeity Eamage . IM1ae�y, <br /> I DEPARTMENT APPROVALS <br /> I <br /> I S�µ�gq COAIMpNICATIONS <br /> � �i'/� <br /> ORAINAGE TNRffIC � �/ �/� <br /> I yt� <br /> I �yq1Ep PLANNING SIGNAtURE 0�AP�IiCAM <br /> , z G 5 z � �G Q.�.� S f' <br /> I STREEt <br /> A 55 <br /> I s' / ��/ i }� ([� ' � /��yR ��^! � <br /> x� :� '^� l�.C.�^�ti. .� — I _ " � GITV ZIP i <br /> � � <br /> I A PROVEO POR 6 STRUCTION DnIE <br /> I 1FLEVNONI,��lE n/ ��] Al�fI1NAiE I <br /> 1 V <br /> I APPROVED AS CONSTRUCTED �A�E �A�E - <br /> N- 17-�0 <br /> I f;i-:f C�?GhJCBCOPY �EE 1978 <br /> r---- - - •� , t�� <br /> - � ..�'�"� .!IYy`y� �"+C�'.'.ti':, . , .. - '+ . . . . . . . ._ .,.. -- _. . . . . . - . <br />