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- . <br /> � , <br /> eve.en <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> vType or prinl clearly with ink <br /> PRESS HARD-YOU ARE MAKING COPIES I <br /> PUBLIC WORKS � I <br /> EVERETT,WASHINGTON PERMIT NO.__��� <br /> P.PPLICANT (UN�ERSIGNED)AND FIRM REPRESENTED, IF ANV: <br /> HEREBV APPLIES FOR PERMISSION TO <br /> AT THE FOLLOWING LOCAT�ON �9C/� ��r^� � 'i �� � J p <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> r <br /> �� ��_� ,�t � �'�a� <br /> � <br /> .� � <br /> ��� <br /> � � . <br /> �., DRIVEWAY SECT�ON <br /> PERMIT IS VALID FOR 60 DAVS � � <br /> COPY OF THI& APPLICATION TO BE POSTED i" �Ip <br /> ON JOBSITE. • <br /> CALL FOR INSPECTION 259-881 1 30" �3G � <br /> 24 HOUHS BEFORE CONSTRUCTION T�e undersigneU owner here�y egrees to �olA anA seve hermless <br /> Inc City of Everett Irom any and ell claims lor dameges. cosls. <br /> e.penses.or ceuses ol ection Ihat mey arise beceuse ol mstallatmn <br /> - and mamtenance ol I�C �mprovCmenl m ol�w rig�bol-way use <br /> herelo apOhe� lor ana lur�hei agrees�o remove SamC upon not�ce <br /> Irom t�c Ci�y an�1 �o repla<e publ¢ O�opwty 4amaqeU �hereby <br /> DEPARTMENT APPROVALS <br /> SEWFR C01nmUrviCAT�ONS <br /> . , � <br /> ORAIN�3E TRnFFIC � � <br /> _ � .�� ../! ' .-���i�../ / <br /> WATER PLANNING SIGNAiURE O�A�PL�CA <br /> C <br /> / 1 / '�� <br /> STdIEi—_ i�'/(,' ' � ^,� .I 2�qW. <br /> n00RE35 <br /> � � . �.<^c�l ��i, � ��. . <br /> � �z �7� ��.. <br /> AP FOR CON"�i RU /ION oniE I — �� � � — � . � :r� ,�a ; -N��7 ��. 7 <br /> TELEPeiONE NUMBCP nUERrvAi[ <br /> � /', 1_ _ I <br /> APPROVEO AS CONSTRUCTED Onie onte <br /> INITIl�L INSPEC"I'ION REQUESTED reE <br /> ry'� 1978 <br /> 7��/ <br />