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_ -, _T -� '�✓. ' T <br /> ��I everett � � <br /> � APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or prinl clearly with mk <br /> I PRESS HARD - YOU ARE MAKING COPIES � <br /> �IPUBLIC WORKS <br /> EVEFETT,WASHINGTON PERMIT NO. �� � , <br /> � n 1 1 <br /> �i APPLICANT (UNDERSIGNED) AND FIFM REPRESENTED. IF ANY: C—� /'�' �� N C Y <br /> HEREBY APPLIES FOR PERMISSION TO I� S�G/I ✓I��1 C �6N � /(��/Q N�Caw/ S /v� /-�//C� �� <br /> � 3Co�7f �f/e'.eT aK GJ�h � N.��oSS a✓ <br /> AT THE FOLLOWING LOCATION � /+ _ I � -��` 1�G�(�.�.��i�-� � <br /> I 1 � + <br /> IDRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> p� Z`v��^^� '"�' " '�i'KS <br /> i <br /> � <br /> � <br /> i i <br /> � � , <br /> I '^ � <br /> I i � �� <br /> i �'r <br /> � � <br /> !, �� , � 9 <br /> �, 2 ,� ; <br /> ,� � <br /> � <br /> � <br /> � � � <br /> �i ; <br /> I <br /> � � <br /> � ; <br /> � - � � <br /> I � <br /> , <br /> � <br /> � DRIVEWAY SECTION <br /> � <br /> � PERMIT IS VAL1�1 FOR e0 DAVS � _.1 <br /> �� COPY OF THIS APRLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. � <br /> � CALL FQ1R IINSPECTION 259-8H1 9 �30" � 30" , <br /> I 24 HOURS BEFORE CONSTRUCTION The untlersigned owner hereby agrees to hoid end save nann�ess i ^` <br /> ! Ihe City ol Everetl Irom any and all claims br tlamages, cosls. I <br /> �� expenses.or causes ol aciion Ihal may arise because ol inslalla�ion I <br /> iand maintenance ol ihe improvemenl or other righl-ol-way use . . <br /> herelo appbea lor and luriher agrces lo remove same upon nobce <br /> � Irom the Cily antl lo re0lace pubhc Droperty damaged ihereDy. i, <br /> i DEPARTMENT APPROVALS � <br /> � <br /> � � <br /> SEWER COMiAUNICA 5 I <br /> i ORAINAGE TRAFFC � �/j � <br /> � <br /> WATER PLANNiNG � / Si�.NATURE OF APPNCANGT / :��'�: � <br /> ' � � �/ �.:� � / ��f�� � <br /> � <br /> ' STpEET � �AO�RE55 � � 7 � � <br /> � �Piv� !/1/.c�G' • �j ,j`7G � <br /> i �� ciTv z�a <br /> I qPP ED FOR CONSTRUC ON Da E �37— /��C� _ , <br /> i - TELEPHONE NUMBER 4�iEFNAiE <br /> j � � f���,�' �/?/�� <br /> � �.PPROVE0,�5 ONS U 7'- �.y o.+TI / nnrl <br /> I <br />