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- . <br /> ` everelF <br /> ! � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print cleady wlth ink <br /> PRESS HAFiD- YOU ARE MAKING COPIES <br /> i PUBLIC WORKS ��Q� <br /> iEVERETT,WASHINGTON PERMIT NO. <br /> ! APPLICANT(UtJDERSIGNED)AND FIRM REPH[SENTED. IF ANY:_ SA��r�� G.�-NNi;! <br /> I HEREBV APPLIES FOR PER�AISSION TO �' � C�rF � pV���ST�Z 0 N T AF F�'S/ 5/QS (J�' Z'JC Kf� <br /> �r� Y CJ�NCr2) A'i /�lG yv >T � ,('uC Il i� Go� /�"f'/�llU� 3 /'IONTh`S F/iom �N79 <br /> AT THE FOLLOWING LOI:ATION �Y`� _ ��t W f j r ' L' L(�yV C iJ J3.L D� <br /> DRAWING (WORK TO BE DONE) OR Ti IREE PLANS ATTACHED: <br /> sP,��.A� ��¢KT o�-�v�r ��- o��.r ro,e �DuM�r��- � <br /> L�K'�AT/Ditl - CiYLG �� s��BFRlf r rR���ia ������its ' <br /> oF�i�,E z�'-��1 2 H Nauks ��/ gDVl�iU�� FaR�A4��,UT�?r.�T� <br /> Ta D,�r�,�,�ii.v� �,r,s� r �.ocATie,�/o� ,puMP.s T�-� <br /> ���e- �- y <br /> .�N�0 ��cl� � <br /> o��� y ,��� <br /> / <br /> � <br /> I DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS � -� <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. �30��T �I 30" I <br /> CALL FOR INSPECTION 259-881 1 T � <br /> 24 HOURS BEFORE CONSTRUCTION <br /> i, , � � T�e un4ersigneE owner here�y agrees lo�oltl and seve hermless <br /> • ' � � Ine City oi Everelt Imm any antl all Ueims br Eemeges, cosls, <br /> expenses,or causes of aclion I�el mey arise becnuse ol instellation <br /> an0 mainlenrnce ol t�e improvement or olher nghbol�wey use <br /> �Crelo BppLeE �or antl turlhe�ag�ces IO remove same upon nOt�Ce <br /> Irom Ihe Cny antl lo replace pubi¢ property damagetl t�ereby. <br /> DEPARTMENT APPROVALS n`p �r 'r � ' <br /> ux� � �, <br /> i--- ��u�c, <br /> SEWER COMM IiCATiONS <br /> DRAIN�G TRAffiC � � y�!/ � <br /> `�/41/�'l_.f.N 1 �� <br /> yypTEq FLFNNING SIGNI.TURE O�APPLICANI <br /> �_ �0/6 /s �' 71 . �' , —, <br /> 5 — _- �o E s � — <br /> C]�o� i�u�'2�� � //�-? 9�i r� <br /> �,.. :�� <br /> AP��D F GON T CTION DATE 5�7�OS OO 5��` ' � 7�f � <br /> T[LEPHONE NUMB7ER PLtERN � <br /> � � �� / � <br /> APPROVED AS CONSTRUCTED ontE �^TE _� <br /> � GONSTRUCI ION/NS F3UILT �ee <br />