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Y <br /> " r <br /> I ' . <br /> tVer� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � TYPe or Vrint cleerly wlth�nk <br /> PRESS HARD - YOU ARF MAKING COPIES <br /> PUBLIC WORKS PERMIT N0.�1�— <br /> EVERETT,WASHINGTON <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED. IF ANV: � '�� ��'� �j--J V� �' <br /> HEREBV APPLIES FOR PERMISSION TO � 1 f � I !7 � " � � `� <br /> ' J '- ` <. r' f..� 7. = <br /> i <br /> fJ ! i : ' � a <br /> lJ T' %� � i � .} � o ' 1 " _1 J�n � /� ��,�i� ,� . .�i <br /> AT THE FOLLOWING LOCATION �`y � � l'I = ✓ �� T . L !_.; � L r7 - <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> SF,�ciAL ��y�rT-o�-�Rr u��- - o�� r to�. �uMr�T��- <br /> �acsl�ria,�/ - CfI�� ,ED s�r3C R f� r r�AF-�ic E��G��t1�E'�s <br /> GF�'/G�E" ,Z 5��-�a ll 2 � Nouk s /�l �DVi9�l�� f�R /�{3q���1 TA?r-.�� <br /> "rc, ��� ir��Ji�i� ,�,rNc� r 1�c AT���d oF ,D�iM Ps T�� <br /> �'/` �/Z/?9�'`� l:M�-c—f�-L� � cvLF�, ,G..-rQ �.G..n (�j.i,.,p.�r.t. ✓L, <br /> -�-� � -�� c�� 3:�„� �._._. � �-��w� �9 �o.� c�-P� <br /> � � � �C�� G-� � .��p.�� <�.e(�,�:._.,� � ,�, �_ <br /> ,, <br /> ..c� ���.P,.�,� .Q�o/�/t�..��Qe._ ,ti y �A_�-� _J-..��,„ 7�.0 � ' ��a-��Q <br /> � ������� <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS 1.�-- --� <br /> I <br /> COPY OF THIS APPLICATION TO BE POSTED � i" LIP <br /> ON JOBSITE. I 3p�� I . I-,r3o'� <br /> CALL FOR INSPECTION 259-881 1 C' •1' <br /> 24 HOURS BEFORE CONSTRUCTION , :Tne unEefsigneG uwner he�eby agrees to hol�nntl seve�armless <br /> . . � `' � the City ol Everett trom any and all claims for tlamages. cosli <br /> eapenses.or causes of actlon I�al mry arae because ol mstallebon <br /> nn� mainlenance ol Ihe improvem^nl or olner ngh4o��way use <br /> . �crelo applie0 Im nntl lu�lhei ag�ees lo removc Szme upon noliCe <br /> Iwm t�e Cny nnd to repiace pubhc p�o0erty damagea t�meby. <br /> DEPARTMENT APPROVALS � ;r_� <br /> �'i�--s` ' r�l� � N '• � I <br /> SEWER COMMU L4110N5 �'t�(,n..fl. - <br /> p% <br /> ;,�_1,�,�, <br /> OPPIIlAO� 1RAFfIC '� ,/ <br /> ��� � L/ � ' l�.. �L� L_ <br /> WATER PLPNNING SiGN41URE 01 APPL�CAN1 . <br /> � - • / � � "J1 . <br /> � - nooAe{s <br /> 5. �� � ; ; /;. I � _ <br /> CIiY� Z1C <br /> �' / <br /> AP ON Onl� %� _� ? !" !��" � �. � � �t,�I:s--� � <br /> iELEPMOME NUMBER 'A��EA�A� � <br /> � ��� <br /> APf JVEU AS CONSTRUCTED DArE OAiE <br /> I'�,�:I�Ii�L If I,�i�1=Gl IO�:V ��(-:;�Ui_�TCC ic� 1978 <br />