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�� <br />� <br />� <br />I�' everetl � <br />'I � APPLICATION FOR RIGHT-OF-WAY USE PERMIT � <br />Type or pnnt clearly wrth mk I, <br />PRESS HARD - YOU ARE MAKING COPIES <br />� rueuc wa�:Ks PERMIT NO. �� � � <br />I EVERETT, WASNINGTON �-� , <br />N <br />� ✓� �1_.--- <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED IF A4Y:_ � S'���. , y�l i I-} <br />CONSTQ_�T s,,�G�� -f=,�����y � <br />HEREBY APPLIES FOR PERMISSION TO / ' <br />i���ATE r�.I� G��. 8� C�n1G. �i�� �TG- II <br />� �N -- <br />3 3 2 2 S" 2 r� � S{ � v�/. <br />AT THE FOLLO\:'NG LOCATIO'J G-,iT "� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: �j �rt"L�TA� "E ���rtU���E7 <br />. � � E M�F-��A�t� 1C� � T"7'�-zN1 i i <br />`�� �/:1U� Uh1T)l� �) V�"y <br />A 3ui��i�� <br />W1�IG�1 � �ME <br />���t�i� i . <br />� Loai�s ar= P� <br />s�i�����rF�. �ev�se� <br />n , 3y <br />�E�ISEi� _SrTE N�-An1 <br />-p�Na s -ra iNcwnc <br />' g" Go�l�. �ir�E -rN�ou�N SWA�E <br />�O¢ � STA�t-� GN'AIJ1•1�L T� TNE <br />VJ� ST So f�S <br />LOGAT��n� � TH� � <br />tIA�,E <br />E�o51oN RN� S��MEn1T ��SC <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CpLL FOR INSPECTION 2S9-B81 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWEP <br />pqpINRGE <br />—__— <br />WPTEP <br />COMMUNiCntIONS <br />InnGfIC <br />PLANNING <br />_—�— � <br />STREET <br />/i <br />�... C , ` . ZG go <br />APPROVED F P CONSTRUCTION D E <br />i qppRpVED ASCONSTRUCTED nn�E <br />'� CONSTRUCTION!AS BUILT <br />�N� ��oJ15/D/�1 <br />rl/tiTUQA�s' 'D�SGt1+°�z4E <br />� i�Z.E�En1 � <br />}=�,oM T1}� SIT�• <br />DRIVEWAY SECTION <br />_ � I <br />� ---� � <br />�I'� LIP �� I <br />� 30"�— 30 i <br />f � <br />Tbe unaersigneE owner hereby aprees lo hold an0 save nermless �i <br />t�e City ol Everett Irom any antl all claims lor damages, cosis. <br />expenses. oe causes o� aclion tbat may anse because ol installalion I <br />. na mainlenBnce o� �he imprOvemen� or ol�e< <�9h40bway use <br />M1erelo ap0lied �or antl lurlher ag�ees lo remove same u0on nolice <br />Imm,�he Gity and lo �epiace publ�c proveny aamagetl me�eoy. <br />3�3-3327 �L-54`"-�t� <br />IELEPHONENUIOEA iERN E <br />�%�31� <br />DniE <br />� <br />� <br />i <br />J <br />�- J <br />