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J�.hn F/•.i/�•F <br /> I _ I <br /> i everelt <br /> APPUCATION F�R RIGHT-OF-WAY US� PERMIT I <br /> �� � Type or priN cleary w0h mk � � <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> I PusucwOAKs PERMIT NO. 7g/ -r; I <br /> EVERETT,WASHINGTON <br /> I APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: -- <br /> I <br /> i� HEREBY APPUES FOR PERM�SSION TO <br /> i <br /> � z I <br /> AT THE FOLLVWING LOCATION � SF'4 UJA.y ��U/7 ____ <br /> DHAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � ���/��; ��. �J-wu� 1� ..�-u,c.�"� /��,u-�-�� (,��'�" lo l�1-a-�-c��. , ' � c9� � <br /> (I <br /> �,��,�..� �,�.�,� c�`�¢.�- �-,vn..e�>-x- - <br /> >L �� S � ,�� �, � /�� � 1L_ L <br /> 1- <br /> � <br /> � � <br /> l <br /> � I.� <br /> ; <br /> .,,�,,i,. <br /> 4� � t <br /> � DRIVEWAY SECTION <br /> PERMIT 18 VALID FOR 60 DAYS � ----� <br /> � COPY OF THIS APPLICATION TO BE POSTED I <br /> �_ + I" LIP � I I <br /> ON JOBSITE. �� <br /> 30� I 30" <br /> CALL FOR INSPECTION 259-B81 1 ��' <br /> 24 HOURS BEFORE CONSTRUCTION a The unAerslB�ed 'owner hereby egrees lo ho10 antl sere harmless <br /> � � Ne Cily o7 Everet� Iwm any antl e�l cleims �or Eemages. msts. <br /> � espenses.or causes of aclion Ihai may anse�ecause ol mstallahon <br /> � and mainlenance oi Ine �mn�ovement or ot�er ngitl-o�-way use <br /> � nereto appbe0 lor and lurt�e� agrees to remove same u0on not¢e • <br /> i Irom Ihe Cily and �0 �eplaci pubbc propei�Y damagea ��ereby. I <br /> DEPARTME�JT APPF^VALS <br /> � �3UI3�3A <br /> SEWEP COMMIINIC4ilON5 <br /> ( ORFINAGE 1RAFfIC � l '-�� /!� i <br /> �..i�Vl�ll CN � 4L 1 �� i <br /> WqTER P�FNNING SIGNAI C Of APPUCAW � <br /> I �` �' l T�Q ZG�O F�ei2ui�l'1/ /�Y� .E ' <br /> � s*aFEi aooq[ss <br /> I i �—.Q 7'lL� �'4 �-u��C�7 <br /> � ������ i� �' ��' � ❑n Zin <br /> I PPROV/E O F OJJ TRUCTION / ' —' �ATE � J z -�/, �Q __ <br /> //' / i� � / � �'7 ie�.tr=HorvcNun+en� n�,u�mniE <br /> i <br />