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everen , � <br />� APPLICATION FOR RIGHT-OF-aIVAY USE PERMIT <br />Type or ptint clavly wilh mk <br />PRESS HARD - VOU ARE MAKIN6 COPIES <br />PUBLIC WORKS <br />EVERETT. WASHINGTON PERMIT NO. R�' `� � <br />APPLICANT (UNDERSI6NED) AND FIRM REPRESENTED, IF ANV:� , � j <br />HEREBY APPLIES FOR PERMISSION <br />" 33 <br />AT'fHE FOLLOWING LOCATION <br />DRAWIN6 (WORK TO BE DONE) OR TMREE PLANS ATTACHED: <br />i%On/q � Ti onJ : <br />/,�,sn�ra- .=.t.vc,= o�usT f3� r2�n,mt.� Tc C�:w-�1M <br />To ��r� zv.v..�.r it.�sra,cnv.J o�= ys." i�1Cis+/-T, <br />li"' <br />�c�usrawcnv.J C'on7 Ke�r ii� r".« oa,t Otnwis b. <br />Z���Y i <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSP6CTION Z69-681 1 <br />24 HOURS BEFORE CONSTRUCTION <br />SEWER <br />pP�IN�GE <br />W�TEP <br />DEPARTMENT APPROVALS <br />LOMMUNIC�TIONS ' <br />TR�FFlC <br />PlRNry1N0 <br />STREET I: I � � �Ii.I� .. l .�`. �.,'�' '^� <br />/ `I � .' I C.� <br />2/s%;� <br />q y pR CONS�UC ION _ �TE <br />IRPi ;� e?� <br />r.......... .... . .. ... . . . . ...._.. p(. <br />AP ROVEO AS CONSTRUCTEPTJi! .�y_I �lJ YTi.JTE <br />�Q� �� ""'CO'NS`i�iUCTION/AS BUILT <br />� • � <br />DRIVEWAY SECTION <br />I" LIP <br />I�3o'+ �I _rao",i <br />The unOenlOned owner hereDy a0rees to �o1E �nE ��re �nmlese <br />1Ae City ol Everott Irom eny uM ell cieim� lor Eem�pes. co�le. <br />e.pemee, ar causn al ecUon ihel m�y ui�e bec�use ol instell�lion <br />en0 msintenence ol Ue im0�ovemenl or ol�er rip�l-oi�w�y uae <br />�ere�o eppLeE lo� enC lunner epreee lo remove seme uoon nouce <br />Irom the Cily enC to replece publ¢ propeny Eem�pe0 IhertCy. <br />YV��L�/ / <br />�TUHE OF 1PGLIC�NT <br />3 31% <br />iE55 <br />� S'.z 5'vy/ <br />PMONE NUMBER ` �/ <br />� � � <br />�EE � 9%B <br />i <br />