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everetl <br />pppLICATIUN FORe RIGHTY OFn WAY USE PERMI <br />e oPIES <br />� PRES� HARD - 1'OU ARE MAKING C <br />• �ERMIT NO.'L'�T' ' <br />PUBLIC WOfiKS � <br />EVERETT, IVASHINGTON � �� O S E�(-_ <br />qppLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: � � �S /�//,� F� r �/„e G r <br />��, <br />n.PiiiP wHN <br />i,��,. — / <br />HEREBY APPLIES FOR PERb11SSION TO c E/ i�'G � � �µ v w�r � <br />�__ r�°_ ave=r�rxn�e e ��� F , <br />AT THE FOLLOWING LOCATION /S_'s � S/ -S j• --- <br />pppyy�N(�, (WORK TO BE DONE) OR THREE PLANS ATTACHEU: <br />i ,. � '�i�.nl� <br />u E!Z r.�i�/ I�2 �� H <br />� <br />r� F P�4�,(�,��a;� <br />_ .` -�-- <br />co�Jvc�T- � <br />EX�S'f7VE7 G�LI <br />� <br />� <br />����- � c� z � <br />`/ti/� `" �� <br />��� <br />� �Q <br />� <br />-- -- � c <br />ro v <br />i/� <br />rictl�,Fi�,yED ,�ir�' �, �i�_ � � <br />�a �Ra�G� • <br />� I ��,�y��., � <br />-� 7 — .S� / S 7` <br />PER11�71T IS VA�-�� FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTEO <br />ON JOBSITE. <br />CAL2 HOUR BEFORE CONS RUCTION '' <br />DEPARTMENT APPROVALS <br />SEWER <br />ORAINAGE <br />WATER <br />STREET „� <br />COMbNNICATiONS <br />TRAFFIC <br />PLPNNING <br />CONSTFlUCTION/AS BUILT <br />Cf<uSNED <br />c,RAJc-1, <br />SURF�-�QCs <br />Go N tJ GG'� <br />� lp CXl5Tl�7 <br />.. . _ - c�u�J. <br />�- - <br />r ru9P uf /.i/.AC�I`uf� <br />ORIVEWAY SECTION <br />i ��I" LIP <br />30 <br />30" ---�'1- ' <br />The undersigned owner herebendralels�iaimsllor�tlemagesefco'sts, <br />Ihe City ol Everet� Imm any <br />expenses. or causes of action thal may anse because o� installation <br />an0 mamlenance o� �he improvement or other ngnl-obway use <br />herelo apFl�ed �or anG lurttier agrees to remove same upon nolice <br />Irom ihe City anC lo replace Publm p�opetly damageE inereby. <br />�.!%__ /_ �i n�«_�. � - <br />SIGNATURE OF APPLILA�d1 � <br />� / < ��v 5_�, , <br />AO�RE55 l . �%,� �O J <br />�. n '�� i <br />ZIP <br />CITY <br />�.S-1 - - �' / ALTERNPiE <br />iELEPnONE NUM9ER <br />� 9�tS <br />. :����HQ in ^:,-�-_..-. ... . .. <br />