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I <br /> ,, <br /> everett <br /> ' APPLICATION FOR RIGF9T-OF-WAY USE PERMIT II,I <br /> ' Type nr print clearly with ink <br /> � RE MAKIN(i COPIES I <br /> � PRESS HARD- YOU A � + <br /> PUBLIC WORKS I <br /> EVERETT.WASHINGTON PERMIT NO. � � II I <br /> II' APPLICANT (UNDEFlSIGNE�)AND FIRM FEPRES[NTEO, IF ANY: — I, <br /> li <br /> HEREBY APPLIES FOR PERMISSION TO � <br /> ' � � T/1 S t. I <br /> A-i THE FOLLO�NINCa LOCATION �2"�/ <br /> � I <br /> �I DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: I <br /> P�s � <br /> � <br /> � � ' <br /> l� \ Q I <br /> � � , <br /> � � 1 <br /> �� � <br /> '�, �� � <br /> � ; <br /> , <br /> , <br /> � <br /> , <br /> , - <br /> � <br /> � <br /> � � <br /> j a�'� DRIVEWAY SECTION <br /> I ��� <br /> �� PERiWIT IS VALID FO�60 19AYS � ---'� <br /> li COPY OF THIS APPLICATION 'Fp BE POSTED i" LIP • <br /> ON JOBSITE. �� I 30"�„ -_--� 30" i <br /> I CALL FOR INSPEGTION 25��887 1 r . <br /> �� 24 HOURS BEFORE CONSTRUCTION The undersigned owner nercby oBrees Io holtl antl snve narmless II <br /> \ t�e Cily ol P.verett irom any and all clalms lor damages, rosis. <br /> expenses.o�CauseS ol ac�ion Ihal may BnsC OCCause ol in5iolla�ion <br /> antl mainlenance ol Ihe �mprovemenl or Olher ngM1l�of-way use <br /> beielo apV���tl br entl�urlher agrce.�o remove same upon no�me <br /> �rom Ine C�ly an0 �o �epince Vubl¢ pmperly damaged Inereby. <br /> DEPF(R�ih1ENT APPROVALS � <br /> � <br /> SEW ER COMMUNIG/110N5 �� n �� <br /> DRrIINRGE iPAfFIG \ �� / /' /L� <br /> J <br /> P�ANNING 51 NPt E Of APPUCFI�3�) ��� / <br /> WPTER �U . R% l% <br /> ///� ���yjj.. p/Fi/ � V ✓�-P� <br /> STREET S '�� � <br /> �A`/ _ '� (l�4 <br /> I�/ �j� v CITY ZIG <br /> L� <br /> ' PP OVEO fOR RUCTION OniE <br /> � � % iELEPMONE NUMBER AL1EflNFiE <br /> ��� ��/ <br /> i OP1E �niE <br /> APPFOVEDAS CONSTRUCTEO <br /> I CONSTRUCTIO�!AS BUILT �EE — t978 <br /> — —�,.� <br />