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- ---�.--�-- <br /> � c - <br /> ) I <br /> i i <br /> ' everen <br /> , � APPLICATION FOR RIGI-�T-OF-WAY USE PERMIT <br /> Type or prm�clearly wi�h mk <br /> PRESS HARD - YOU AFE MAKING COPIES � <br /> PUBLIC WORKS �;.� �:!;` � <br /> � EVERET?, WASHINGTON PERMIT NO. �� ' �% % i <br /> APPI_ICANT (UNDERSIGNED)AND FIRM REPFF.SENTED, IF ANY: �'� �� � � ' T���l^�=��*-- I <br /> NEREBY� 'PLIES FOR PtRMIS510N T0__ L� C �IL jI �/1 T�j� Fi?/:; T/�� �'j� �7/�/C� <br /> i <br /> � � ,<1:,�,eGl ' .� /�J] <br /> �����r��� � �` _ ^.i ;.� f�� i . . ' .� � : i� ..>� ��J '�.�7._ [��FT <br /> � 1..�.-_. � <br /> IATTHE FOLLOWWG LOCATION ` //^� ' � �� �/ / � `,' � ��� /� <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I �` <br /> G <br /> -�J <br /> �� <br /> vl <br /> � � <br /> , � � II <br /> Y <br /> . � I <br /> 1 I <br /> � <br /> � � <br /> I I <br /> � <br /> � I <br /> I • <br /> DRIVEWAY SECTION I <br /> PERMIT IS VL�LID FOR 60 DAV� � _� <br /> COPY OF THIS APPUCATION TO BE P05TED � � i" LIP �1 <br /> ON JOBSITE. — I <br /> CALL F�R INSPECTION 25J-881 1 30 't 30 � I <br /> 24 HOURS BEFORE CONSTRUCTION rn� undersigned owner nere�y aorues to �old a�d savn harmless <br /> the City oi Everett Irom any and all claims for Oamages, costs. <br /> I expenses.or causes of actiou lha�may arise Eecause ol insiallabon <br /> antl mamtenance ol the improvement or olher righLobK�ay use <br /> hereto aOPLetl lor antl �'�nntr agrees�o remove same upon no�¢e <br /> Imm t�e Ciiy antl In replace puClic propetly tlamaqetl t�emby. <br /> DEPARTMENT APPROVALS <br /> SEWER LOMMUNiCATIONS I <br /> � DRAiNAGE . TRAFiIC `�� / ; / , <br /> � �_�%l/:.IJ��� �� <br /> � WATER PLANNING S�GN�iIIRE OF APPLICANT <br /> i �.�.��,j"�r UC/r'� '/ j'/�e'Il `�""�3 P � _ <br /> i STqEET 4DORE55 ^ � <br /> � •�r%/r�r0a n 1,���/�5/1 ���� � <br /> i cir/ ? L1[[/!l zia <br /> APPflOVED FOF CONSTPUCTION DnrE /�� ' l 7 ] � <br /> iELEPHONE NUMf�3EA f ALTEFNAiE <br /> Jy�r.(+ ��[7� <br /> APPROVED AS CONSTRUCTED onrE ��TE <br /> IfdITIALINSPGCTIONREOUESTED �ee — i978 <br /> _ r. . <br />