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. , <br /> everen <br /> � APPLICATIQN FOR RIGHT-OF-WAY USE PERMIT <br /> Type or prinl cleatly with mk <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBUC WORKS ,�J- <br /> EVFRETT,WASHINGTON PERMIT NO. <br /> APPL�CANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY:_ � 4/ ��i"� ��j--'� ��� <br /> HEREBY APPLIES FOR PERMISSION TO � " � �r � ����-��" �� '�� � 'y � � �- � �"�'� _ �' ,� �. " <br /> .J {� . , � 1 J l/, �s . T' / i. � /. }�.�._:-_'� -' �;1�,�1��.. c /-�, �'ii�i <br /> i <br /> AT THE FOLLOWIN6 LOCATION �`/�' � �'� ^ i^� � < < �'�� —sL-r��' r <br /> DRAWING (WORK TO BE DONE) OR THf�E PLANS ATTACHED: <br /> SP��iAL ��6NT-oF-/�RY l.Js�— Ditl� y /`o�. 1�UMi�T.,.��- <br /> ,L OC�ITjQ�I - C fIG L �� s,�,gC R f� T r�eH��ic ��G���E�s <br /> �F�/cE z 5 9-�8 f� � H flouk 5 /.0 f1 DVl�iU�� FGR flN�i�(J Tis'It.�d <br /> IT� �.� T,�=.��yi�rr�= ��'N<< r 1.ccr7T/G�f/OF ,DUMPs r�� <br /> � u/�/��.� �,�� �(,C,� ���, ,�P r�. �..,,., �� <br /> �� � z �, <br /> -�-�,� �.,.. -c.�,,p c�Q 3�,...� � �.e.e �a� �� 3 �o�--� � <br /> � � � �C�, l� z� .�.�,,..�r.�� ���,�:�.,-Q � .�, .�„-� <br /> .� .���� .(����� ,�,-}� _Q_�_�,� _� .��p,.�., z�., ����a-�-��� <br /> - ��o�,-�-,� <br /> DRIVEWAY SECTION <br /> PERMIT IS VALiD FOR 60 DAVS � ------1 <br /> COPY OF TFOIS APPLICATION TO BE POSTED � i" LIP 7� <br /> ON JOBSITE. 30�� _�30" <br /> �CALL FOR INSPECTION 259-861 1 <br /> '24 HOURS BEFORE CONSTRUCTION . :rne undersiqned owne� hereby egrees to holE anC save harmless <br /> � - � �`��� � the City ol Everetl Imm any and all claims for Aamages, cosls. <br /> enpensCs,or W usCS O�nt�ion Ih�l mdy TriSe bCcauSC 01�^slallaiion <br /> antl meinlenancu oi Ihe improvemeni or oiher nghl-ol-way use <br /> . herelo Bpplied lo�a�A�uriher agiees IO rCmove same opo��Ohce <br /> liom the Gty antl m irplace public pmperly Dama9ed I�ere�y <br /> DEPARTMENT APPROVALS � ;� <br /> ;l� , � ,�c � N _�. � � , <br /> � ` <br /> SEWER COMMU CatiONS 11'��., ��i .. <br /> . �,._:.IL.4 CJ <br /> ���AINAG 1PAfRC '/� <br /> �� 1't l i•�(' ( :�/. ' � f � <br /> p�ANNMG SIGHAiURE OF qpVLICANI � <br /> WAtEF � <br /> : '; �[ /' �� • <br /> /�5�� RDOPESJ5 j <br /> 5l � /�� �/ L'r �•�(' � /i' / ( i .� <br /> /1� ///i// L///� CIiV�. I — 21P � .i ., \ <br /> AP ^ ON Y I �� ontE � .. - ���. �, , �;I� (< � 7 � ���'- �I 1 <br /> v IEIEPHONE NUM�ER 'P�IERNAI�I <br /> . - l. %'/ —. __— <br /> Il <br />