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. -----r , s <br /> 'i <br /> I - . <br /> everetl <br /> �' � �, .APPLICATION FOR RIGHT-OF-WAY IDSE PERMIT -�, <br /> I Type or print clearly with ink �\, <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT, N'4SHINGTON PERMIT NO. � � �� � <br /> APPLICANT (UNDERSIGWED) AND FIRM REPRESENTED, IF ANY:_ � � � ' 1� �' . ' -I ' . <br /> HEREBY APPLIES FOR PERMISSION TO � � ��� _, - _ -- , <br /> I <br /> i <br /> r <br /> AT THE FOLLOWING LOCATION 4 � - � �� �� �� �' <br /> I DRAWING (WOiiK TO BE DONE) OR THREE i'LANS ATTACHED: <br /> i <br /> I <br /> 5��2P � « t�/,!y .�.�D <br /> ,�EcUD can�s'�' 6/zo <br /> ���Tu�Ncdj 7�/� � <br /> I <br /> I <br /> � <br /> � <br /> � <br /> i <br /> � <br /> i <br /> � <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR b0 DAYS � ----i <br /> � COPY OF THIS APPLICATION TO BE POSTED �� � i" LIP �I <br /> i ON JOBSITE. �30" _ _L3o" <br /> I CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The un0ersignetl owner hereby agrees to hold antl save harmlen <br /> I the City ol Everett Imm any antl all clalms for damages. costs. <br /> expenses,or causes ol action Ihal may anse because ol ir;tallation <br /> an� mamtenance ol Ihe impmvement oi olher nghl-o�-way use il <br /> ncrc�o apPl�ed br and Wrlher agrees to remove same upon nol¢e <br /> Irom ��e C�ly antl Io �eplace pubbc propetly Uam.9etl Ihereby <br /> i DEPARTMENT APPROVALS <br /> � <br /> scwea co�.+MUN�cnno�vs <br /> -' ' � " � i <br /> � �i <br /> ORAINAGE TRAGRC � � . / � � <br /> \VATER PLAM'ING / IG ATURE 0 NPUCANt <br /> ' � ` I <br /> :TNEET <br /> NO RE55 <br /> I �� ,` ,x✓�LC�C�%.�t. � %�'"Le� <br /> I ��./ � cc , . <br /> � } _ �D _ � ci - ' ` zia�,a�-. y <br /> APPROVED F R CO ST UC IO � �l onrE � � �" � J'%L _.� < % �� �(J <br /> � �Se� n iELEVHONENUM1�BEA AUEANAIE <br /> � <br /> r� � �� (� � l� - <br /> APPROVED AS CON�TFIJCTED �ATE �A�E <br /> I <br /> I . , � _- , ,_ ;?i-r��!L`11r_�j �t� 1978 � <br /> . . _. _ �' -- - <br />