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.'y � .. . .. .. , . _ ._. � . ' <br />• <br />!Y!4'!II <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly witY. ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />r` �. <br />PUBIIC Wi�PKS �"�/�c5 � <br />PEF.A�IT NO. <br />EVERETT. WAS4INGTON _ � , � , , — <br />APPLICANT (UNDERSIGNED) RND FIRM REPRESENTEU, �F PNY:� � � � ' � � �� � � -- <br />�fis1�/l Z �s,�1�p 1�R �e�a. � — <br />HEREBY APPLIES �OR PERMISSION TO ;.,. <br />�� � — <br />� — <br />AT THE FOLLOWING LOCATION � � 7~ St �' �� W _,_. <br />_ . ���'� S'�'� �. L �' <br />� �1���1,��. <br />7 <br />����,o�s <br />! l : t. �x;S+,h� a�;�4wp �. �l� iCW�0UR9 <br />� � ���� /� <br />i � _ ' � ���: �ur� a s►d�ewa��L <br />�. . ••�`� 'Gr9 re.�la��y w..�-�._. . ' <br />/' co ���� l o c.a�-`o,.. <br />4 , ._ � : . .._...._.. {d� A-?�15�1� �(Wlway lt ..th � .. . <br />I <br />1 <br />� ciOwN <br />b..+% .t : -�oo .f.:d� : �t- ��.....0 �. e e�. _ . '� <br />t . . �� s:Ze �o .' �..�...�. d.r.0 e w� w,, ci � , . . , <br />I �- � _ � • :Z. l'V,/ �,� N�w._ �f�1ld �+e7ay S - C..KIS�M�� C R � .. �Lv�w.t � b t. .. . . . . <br />l n <br />- �(1 i� '��( � � �� d+.Y'W� qr.Oft's�h <br />��_ ft�w�.oJ�✓ R» f �a�e� w• � ''1 <br />. �,�CNo e�e.�� o� e� a�..r�o it N u�' �..uew .�, ,_ .. . <br />� _ ,. . . : ` : ' <br />_. 3. S�e�ewczl�-.:''�io �oe �ew.o�•� Mnv�s�-\oe. sc�,w -e..�r' or : . <br />'I... .. . .. �ewwv•� �. :•v.e�e:� er•�awcao.. J�; <br />, � ~ , , • : aN n <br />•.: �l, c�tv a�o�e�' . lt ��-s�oKs�l� ie �r reP�riK1 �.aw:�'e-�Y ,_ <br />�. � ; Slde wti�k of ..Ckr� a..�:/ �� ciO �e sw ls�wc#tch � . . <br />`' �p¢� ac° �GG oi� �lS Wor� I` . <br />_ . W�e . PaN. �rt5�e�br' �1°. . . <br />�� <br />DRIVEWA'i SECTION <br />PERMIT IS VALID FOR fa0 DAYS <br />COPY OF THIS APPLtCAT10N TO BE POSTE� <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-8� 1 1 <br />24 NOURS BEFORE CONSTRUCTION <br />SEwER <br />DRAiNAGE <br />WATER <br />STREET <br />DEPARTMENT APPROVALS <br />COMMUYICnTIONS <br />TRAFFlC <br />P�ANNING <br />S � � -��i <br />� � I�� LIP <br />�30'� _�_30" <br />The untlersigne0 owner hereby agrees to ho10 antl save harmless <br />the City ol Eve•ett Irom any and all cleims for damages. cosls. <br />eKpenses. or causes of ac�ion thai may arise because ol installa�ion <br />ana maintenance ol 1he improvement or olher cghl-of-way use <br />herelo appbeA lor . nd Imiher agrees to remove same upon nohce <br />from Ihe Cily and ro replace pubhc properry �amaqea tl�ereby. <br />353_75�i <br />iLLEPHqNE N �ER !LiEFN/1E <br />�� �� -- <br />0f�1� <br />CONSTRUC'fIOfJ/A`' C�UILT FEE -- 1978 <br />