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� 4�' . <br /> j <br /> I everen <br /> �� � APPLICAT'!ON FOR RIG6iT-OF'-WAY USE PERMIT <br /> � . <br /> Type or print cleady w1lh mk <br /> I PRESS HARD - YOU ARE MAKING COPIES <br /> ��, PUBLIC WORKS y � <br /> EVERETT, WASHINGTON PERMIT NO. �" <br /> � APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: � �'1' �t' N � Y <br /> ' HEREBY APPLIES FOR PERMISSION TO I� 5��•l ��/�r� ��� �UdP h�(Ihv/ S ��'I AIlQ <br /> i ��f ��/e�.eT c�K �J�h � N�l'.assar <br /> � AT 7HE FOLLOWING LOCATION I �1�G�;• 5.��� � <br /> i DRAWING (WG+RK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � r ' <br /> i �?f �rJa�-� V I�i,KS <br /> i <br /> I , , <br /> ��Yl�� <br /> / � <br /> !� <br /> � � <br /> � �� '' 9 � <br /> ! 2 '�� <br /> i � <br /> � <br /> � � <br /> � i <br /> ; <br /> ; ' <br /> ; <br /> , . . , <br /> I <br /> DRIVEWAY SECTIUN <br /> ; PEI�P/ilY IS VALID FOR 60 DAYS � ____ �, <br /> � COPY OF THIS A,PRLICATION TO BE POSTED I" uP —�1 <br /> ON JOBSITE. � I 30" I I 30" � <br /> CALL FOR IWSPECTION 259-881 t I� r '7 � <br /> � 24 HOUHS BEFORE CONSTRUCTION The untlersigne0 ownm hereby egrues lo hold entl save harmless <br /> ihe City of Everett fmm any antl all claims lor tlamages, rosts. i <br /> ' ezpenses.or causes ol a�lion ihat may arise because ol in5�a11aUon ', <br /> ! ai�a maiNenance ol Ihe improeemeni or other nghbol-way use '� <br /> i herelo appbe0 lor antl luriher agrees to remove same upon nolice ' <br /> � Iwm Ihe Cily antl to re0lace DuOhc pwpetly damagetl I�ereby. <br /> DEPARTMENT APPROVALS i <br /> � SEWEP LOMMUNiCA 5 � <br /> I i <br /> � <br /> ' OFAINqGE TRRFFIC � ��� I <br /> � ' ,._5�.��� j —. <br /> i WATCR PL4NNING � 'Si9Nf.TURE OF APP�iCANT � i/ ! � <br /> �� i .1 � . � . �r �i <br /> � . � � �� �..> �� � . G;� �C- � � i <br /> � STREE� . /FDORE55 � � � <br /> � � ��, y �,��Pl w,�� . ���>v <br /> i APP ED FOR CONSTRUC �ON DAiE c'T���— �/�5� ZiP ' <br /> ^ C� v <br /> TELEPHONE NUIdBER ALiERNATE <br /> I APP/VEDAS N U �n� � ` CnTr /�/'� I <br /> � I <br /> ' CONSTRUCTION/ASBUILT FEE 1976 <br />