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- - i <br /> � - - � � �� � <br /> eVc��n APpLICATION FOR RIGHT OF WAY USE PERMIT <br /> � � Type or�nnt clearly w�th ink <br /> pRES$HARD- YOU APE MAKING COPIES I <br /> IPUBLIC WO(iK5 PERMIT NO. N� �� I <br /> EVERETT,WASHING'iON • <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: <br /> HEREBV APPLIES FOR PEPMISS�ON TO�`-__��J-�-�-�-���'S•�C Jc�f' �ic�'4��.IlJ <br /> _ i.IE.O 'J <br /> AT THE FOLLOWING LOCATION v , �"�`�'T ����� �/C!� /� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VdLID FOR 6[► DAYS � --� I <br /> COPY OF THIS APPLICATION TO BE POSTED ��_ �f, ua -----�1 <br /> aN JOBSITE. 30' �- -�-30-.� <br /> CALL FOR INSPECTION 2S9-B61 7 �"� <br /> 24 HOURS BEFORE CONSTRUCTION The un4erslgneG owner here0y aB��s to hol0 end save harmless <br /> the Ciry ol Everell Irom any en� nil claims �or dnmages. costs. <br /> eKpenses,or causes ol gcbon t�al may anse Decause ol�nstallehon <br /> entl maintenence ol t�e impmvement or ot�rr n94'-ol-wxY ��sr. <br /> �crelo applied lor ana lurt�rtr agrces�o remove samc upon not¢e <br /> Irom I�e Giry and lo replace pubi�c property aTmaGed i�e�e�y. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNif,Rt10�15 / / <br /> ��`,�. \ /,/, <br /> pRhINAGE TRPifIG / " Y� <br /> ' �A/� L� /( <br /> �`UNNING 5 N^I V"C Vf P4 P�ij�PNl / � / /,//// I <br /> �/ !�/, /'�1L� <br /> WRiEP L��D/ /�� � �v���/ �N;, <br /> __. __ nOD�I �.� LL��� <br /> STREET <br /> y � >�i� �-�� �,..�r <br /> APP C F C NS u TION _ / Y"` �' `����'^ ��/n/�' <br /> I _ TELEPHONE NlIMBC� A��E��A�� <br /> � i ,�, �( �3- 9-rF� <br /> nrr onscor+ T IICTED °"'E op'E <br /> I CO(tiS�RUCTIOiJ/A513UIf_T ii.i 1978 <br />