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i - - <br /> i <br /> � PL�cK� 7y0 <br /> everetl <br /> Q APPLIGATION FOR RIGHT-OF-WAY USE PER IT <br /> v Type or print clearly with mk <br /> IPRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> � EVERETT,WASHINGTON PERMIT NO. / � <br /> I APPLICANT(UNDERSIGNED)AND FIRM REPRESEN7ED, IF ANY:�'�o.1L A.J� ( U�AST��1C�O� C.ON,j%,eV, <br /> HEREBVAPPLIESFORPERMISSIONTO `-o�U_STRI)CT A \ (SI' FVr � /1JAQr' NA(VG� <br /> — � !�!� � ��r-A�-T��� �.�� 3L��G <br /> AT THE FOLLOWING LOCATIOIJ _ .��/ 7 S^7/7}/ �T � E�/F�Q�.�'r <br /> OpAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> FIREHYv�A�1T WILL BE 1NSTALLG � oN THL N.E • �D {Zt�6� 6F <br /> 3�,^ 5"�' E� SM 1T�"I. <br /> aR1VE w Ay GUT W ILL $E RE P�AcEO w�TH STAWOARD GURg <br /> E C,r�T"�R SELT� oN , Cx�STiNCz pZ�VewA�( c.uR6� C,u�cIZ �"�R�aMoJ6R <br /> TEMP. �Rosto►1 �c ►�'�Ro�S w� �� g� S� FF �GlE1�T -�o PROCESS <br /> a►� g�TE wATEil �0 7 �-�� 5F1'�� SFAc`YioN or- 'r41C- 11,`.SPC--�T�IZ� <br /> 1NE C�T`( �.�uC11JC.ER <br /> .�. <br /> IN L�cJ or- l„'I, D. 1�- lSTR1LT �=oR F��e �( IMPfLoU�ML�1T <br /> TN�S P2o.�C� wii_L ING� � De �J��- r���E�( iMPRONEMENTS <br /> f:zoM ;F�t Noz ,-�� pzoP. ��a� -ro -�n-�E cx�s� �►�y PAJGI�-iCtJl �al 3( 51. <br /> j' CoNc . Sincw/acK AoJRccNT T� %N� ExIST�NG cvRB, <br /> � �I►13'1'ALL A �R- C°.ATCF-{ BASIN W �T�-� P�JC. OIL TZ!'�� <br /> ��Tc c 4 p�� y� i N PA iZ1<IN�� AQCA . , <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � � <br /> COPY OF THIS APPLICATION TO BE POSTED ��� ��P <br /> ON JOBSIl'E. ' <br /> CALL FOR I�ISPECTION 2s9-�61 1 _ 30" ►�..30�� <br /> 24 HOURS BEFORE CONSTRUCTION <br /> The unEersigneA owner hereby egrees to hol�anE save�armless <br /> Ihe City ol Everetl Irom any antl all cleims lor damages, wsls, <br /> . expenses.or causes cl aclion Ihat mey arise because ol installalion <br /> anE maintenance ol IOe �mprovement or other ngh4ol-way •se <br /> herelo apphetl loi ana lurt�er agrees to remove same upon nou�e <br /> Irom ihe Gly anE to replace puCl¢ properly damaged Ine�eby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICRilONS <br /> OR�IN�GE iqpFflC /� <br /> WATER P�PNNING ����^—���`�+�M�+a.W W"��\. <br /> SIf.NPIUR[Of APPIiCANT <br /> STREET_- � <br /> ADD�S� �Ox ��� <br /> � � � i <br /> / �� � + , �Yf�2F�T 9eZo6 <br /> � , ,� ��.. z�� <br /> PP VE.e C TflU . � � zsy - 9i9i <br /> �i �/ � i ' LEIEPhONE NUMI3ER A�iE9NFtE <br /> / .�-' � ����� /�9�B/ <br /> IROVED CTED . on*[ pai[ � I <br /> I • CONSTPUCTION/AS RUILT ,« I <br /> 1 ' <br />