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� <br /> I - J, r ,, r �:�/�� I <br /> i <br /> � ererell <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or prml CleOrly wiih �nk <br /> �� PRESS HARD- YOU ARE MAKING COPIES <br /> ( <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON PEAMIT N0. 79I» ; <br /> / <br /> i <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED. IF ANY: — <br /> HEREBV APPLIES FOR PERMISSION TC — � <br /> L- yZC <br /> AT THE FOLLOWING LOCATION � '��` � ��� �/� � — <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTALHED: <br /> .� ,-�,y1��q�e .� �-G�p�, (,�/� .V"�w��� /t-(��jLt� �,�'-�-'��„t. � �` (�`"G.�� ak�-tz ��J <br /> ,I~�w (J � <br /> � ��,-�--� �-�C�-C�t �, ���� �a�,���--µ- <br /> i <br /> � <br /> � <br /> : <br /> � I <br /> , <br /> � <br /> �, DRIVEWAY SECTION I <br /> PERMIT IS VALID FOEi 60 DAYS � ------.i <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP i <br /> ON JOBSITE. �gp�� __ __�30" <br /> CALL FOR INSPECTION 259-887 1 <br /> 24 HOURS BFFORE CONSTRUCTION v Tne dntle�sqned bwner he�eDy agrees Id�old entl sevo harmless i <br /> �ne Cit} ol Evcrett iron e�y and all claims lor �arnages. cosls. <br /> eRpenses.or ceuse5 0l t clirn iha�may pnse because ol ms�allalion <br /> and mpn�c�Unce ol Ih= unprovemen� or o�her riqll-ol-way u5e <br /> herelo ppplr'J fo�aM i�iRei agrees�o r�move s�me u0on no�¢r <br /> Irom ine CiN pntl �o i:pl,ce po�lrt p�operty rinmage0 ibereby <br /> DEPARTMENT APPROVALS ' ""'^''A <br /> _� <br /> tiEWER COMMUMU110N5 <br /> OR�INAGE tAA«�� {�- I <br /> �1 � e,L��� __r ,L� _ � <br /> WPTEN VLPNNING � � �� Sif.NNt F O�/.��'UC/N� �� <br /> I �(� <br /> � L�-�L� ��d/2VYE�'Y . - YL� /� r <br /> sraEEt aooAEss <br /> � . �.c 4 'YT3-C �/L�� �.�/!"�L_ � <br /> � '����„� �. . �� . _ � �' .� ��' /!� arr , zin I <br /> i- ( . <br /> � PPR� pyED Fp i�ON�TRUGiION �nTE �`�_ �)�'j __ i <br /> TELEPMONENUTAUER , PLtENNfIE � <br /> I — � <br /> I APPROVED AS CONSTqUCTEC DA�E ��'�F � <br /> ! ,-�� --�.�cr_no,•y �.� -- is�R <br />