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. 1 <br /> v' <br /> � everen ��� <br /> , � APPLICATION FOR RIGHT-OF-W�iY U� .: PERMIT '�, <br /> Typo or print clearly with mk <br /> � PRESS HAFD - YOU ARE.MAKING COPIES � <br /> �i PUBUC WORKS �7 �� <br /> ! EVERETT,WASHINGTON PERMIT N�. / � I <br /> II APPLICANT (UNDERSIGNED) AND FIRM FEPRESEHTED, If ANY:��n�PS C�.tiTy F/P�I ����NS� (;,, Gy ��./I AN q�J I, <br /> I; HFRESY APPLIES FOF PERMISSION TO �_�`'4�� ! LG�- �rt`�f= jJ��7�- 7{��ih�, !�i- ��%f'L , [r� �'S �� I <br /> � J ,{ y� ,�[ l� � i <br /> �I �T o�C /-fUG G /� /�N ��r f�$.�� G ( - � <br /> �'� Ai THE FOLLOW!NG LOCATION_��J`-' �-�——���X7tf----�-�� � ��G � — �� <br /> ORAWING (WORK TO BE DONE) OR TFIREE PLANS A TA HED: <br /> I ��� <br /> �, . ; <br /> � <br /> �� � n;�� l/ a ,P .� ��-� u_, o�� I <br /> i // _/ <br /> �� o �._ L�� ;� � � �e <br /> I b� C7� C�( � '�'� 7J C�n(f PC � �Jnlc'/— �— �'F'��' cF=- � <br /> �� ! �y.- c>�.�.�. �(•,-. �`—t �r..� /e��r C �;� ' ` ' �� �f� ��. <br /> I � l <br /> �� � I <br /> I �� / � � I <br /> I � <br /> � / � 1 I <br /> lil .;• �y \` � � <br /> � <br /> I I <br /> I � <br /> I <br /> i <br /> � �i <br /> � ; <br /> I' � DRIVFWAY SECTION I <br /> I ' <br /> i PEEiMIT IS VAI.IA FOR 60 DAYS � _ � <br /> i COPY OF THIS APPL!CATION TO BE POSTED + i" �ip <br /> ON JOBSITE. <br /> CALL FOR IfVi�PECTION 259-881 1 30" _I _30"� <br /> 24 HOURS BEFQRE C+DNSTRUCTION T�e unaersignetl owner hereby a9rees to �oltl antl seve �armless <br /> Ihe Ci�y ol Evere�t Irom ony 2�tl all claims lor tlamages, wsis. �: <br /> eapenses.oI causes ol aclion Ihal may nnse�ecause ol in5ialla�ion <br /> and mamtenance ol Ihe improvemen� pr olher nghl-ol-way use <br /> hereto apphetl lor�ntl lurt�er agrees to remove sama upon notice �, <br /> Irom Ihe Qiy antl to replace pu�lic O�operty Camagetl Ihereby. I <br /> DEPA9TMENT APPROVALS i <br /> ISEWER COMMUNt NS I <br /> I ORAINAGE TRNFFlG � I� �� / /�y`� i ` <br /> f. /��( / / <br /> I V(%W (yy <br /> , WqTER PLAYNMG SIGNATl1RE OF qPP�iGANi I <br /> r/4 oi lY �A�.�. SL� i <br /> STPEEI AOORESS � <br /> , (��/J�/�(��' �J ,�,,�,� tE G..y ����� _ <br /> �// G CITY ZIP � <br /> I APP�OR CONS U O oArE 3� /� [1 ,(�3 U . ',. � <br /> I ^--� c; <br /> TElEPH9NE 4UM�ER ALiERYAIE <br /> I — - %-/G- 79 _ ,I <br /> PRO �AS CONSTRUCTED DAIE �ATE <br /> � CONSTRUCTION/F.S GUILT FEE 1978 I <br />