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I <br /> �I I <br /> I Q�'[l!n <br /> � � APPLICATION FOR RIGHT-QF-�YAY USE PERMIT I � <br /> Type or print clearty wrth iN: i <br /> ', PRESS HARD - YOU ARE MAKING COPIES <br /> I PUBLIC WORKS � <br /> EVERETT,WASHINGTON . ERMIT NO.. �v �� I <br /> ._. � ' - /' ' / i <br /> �- � /� i <br /> � APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED,IF ANY: r�'�� � -�yf' ...a-'t'� .� Tu C/`'+-�s _ i <br /> i ; . <br /> � / _ J� <br /> � HEREBV APPLIES FOR PERMISSION TO _ ��'-��*'G�� � `4--�_r�'��.—t= I�i�,(',�__ � <br /> iAT THE FOLLOWING LOCATION___ _ �y ��, �` /12AF/�_ _ I <br /> I � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: I <br /> II ') / _l .'EJc:�!� I <br /> � �j/�, ` �� <br /> �J� � .� ` '`_ 4' , �- <br /> �� /y`� �J � ������ <br /> � ' _ � I <br /> i '7r'e'.-t:�r- �-�-�!�F:� � ��`ti-�°-' / ._._.— <br /> � .� , <br /> ' � '�/� Pi9'�,r G„ '�"`� <br /> i �p�I; "��� IIF', - L',� U7/��PS {U/��Gvr�(% 0�7 �GGG �GIi�:GC�Li^ LG<-C� <br /> I �ilJ `�t�i�� ���j��'/i./� G.S- l>.%i��(f�r�lGi��/'Cf�,�./��gS G-� Ol� � lG<l�l7�aS �L <br /> �'�� /,� Gt��/��Fr/ hy C,�y �i/ /��� /o d�y s �,iUr �o y�o�✓� l���r����-io�, , <br /> I <br /> � ��,�v wao� �l� b� l���J�-/ is ��� C U-S �r�i� w�yol)pc� cli�U� ylif)� <br /> i <br /> ,� , � <br /> I �;�� dF�;�� �� l�y;�.� �y a�,�( /��%/�y P�u�, ' - �� �o�.y�, �Psf Fyst ��fi' � <br /> � ��,� z, �. � . 8/�zh�. <br /> ; <br /> � <br /> li � � �° I <br /> I, � �z .' ' <br /> i <br /> 1 ORIVEWAY SECTION I <br /> PERMIT IS VALID FOR 190 DAVS _� � I, <br /> COPV OF THIS APPLICATION T'O BE POSTED f i" LIP -� <br /> ON JOBSITE. <br /> CALL FOR INSPECTII)N �59-881 1 30" __�:30" <br /> 24 HOURS BEFORE CONSTkUCTION � <br /> , T�e un0ersiqne0 owner hereby egrees Io hola antl save harmless <br /> �, t�e City ol Everett Imm eny and ell elaims lor Oamages, wsts. <br /> ' PxpCnSCS.OI[3USE5 OI 3C�1af1��'2�T9y 8lISC�¢CdlISC OI IIISIdII�IiOn �, <br /> � _ 0nE mdinlenBnte Of IM1C �mprOvfineni 01 othpr nghl�ol-w3y use <br /> �eie�o apOheO lor and further ayrees Ic mmove same uDon not¢e ', <br /> Imm t�e C�Iy and to repla[e publ¢ piopCrly Eamagetl Ihereby. i, <br /> I DEPARTMENT APPROVALS I <br /> � <br /> I SEIVEP COMMUNtC/TIOI!$ ) <br /> � — / I <br /> , DRAINAGE TRAiFIC \ �, <br /> =L <br /> ' 14ATER FLTNNik'u 'OfiyMU�VE OF A� iC4N�..i i . <br /> _ � � � � f <br /> STBEET '�0 � � � , <br /> , _ , �,�1 <br /> i ..� :�' iz ��;,�, ° "- �- - .. :fT— � <br /> I A P OVED FOR G NS UCTI . ' bniE 7 J � �7 �i / // � ,� y <br /> � / tF�[' P'Fo N iBCT—� �� /'� 4LLERNn1[ ' <br /> �� :- �/l ''�i ri <br /> � — _ ___ <br /> n PROVED AS C � UCTED DA�E �^�` ' �� i <br /> � COhlSifiUr�T�ON'i15 6UILT ��� 1978 <br />