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I <br /> y � I �Y <br /> I <br /> ieverett <br /> I Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> I � Type or print clearly with mk <br /> � PRESS HARD - YOU ARE MAKING COPIES.l�: <br /> IPUBUC WORKS - <br /> EVERETT,WASHINGTON PERMIT NO.��'Q� <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: CJ�2dlJ� �� �—�G,2 F <br /> l �— <br /> HEREBY APPLIES FOR PERMISSION TO ��J STs�L L .� �� �U.+Cie P,a T JJ/2�✓C _ <br /> AT THE FOLLOW�NG LOCATION � �H Z �� ��{ /'� �� F . V`� � <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> C�,�.bi7ia�c1 � o �,� o,�D�.u��� ��o - �9 <br /> �i9Lfl�cJbs��Pi,r,� o�,v i.��ji�9r�.r/c7 a-y��is+•U�P�'��IF <br /> �f/pf�l T�•�/gG5 t/Scl� lj•PQu.[/p Al� sT•P.�lc �It.�S, <br /> P�P.�,�.rx, e9.e�iP A.+Jb oTy.� �c��F�PaE'�-ra.cl�s o� <br /> Ti/�si T.� S//A1G B����.POUF�✓'J PiP/�.C' Ta CDit1ST.eDt='T 7�tI <br /> �1`NRT�/,�'IQL [/.�{yl rA</aitl /,v TiY�.D.P�P/.lJf�l��/r�"/�/1J� - <br /> A�� s�r'� GfJ�sT�,�GJ��•�1�.�71'Gi�/C S��l'GG �GbT <br /> 'B'C ��T�.F,,�.c� Sd�GS i.t� TlYis�.e�fr� S/�'f�G .G�'17" <br /> �'��/S Til�,+S�1� <br /> 7�` T/f�Hi9Y,�L.� BfJ•P.P/�•c° F� S.�'�b/�ill?" .P'fJ'�Ui9G Sf/rPGG <br /> �aT,BC- ,e.�/�f�G�"� ,�y /yl��i�YY�Z�/L�fi'G /�l�f��C/S �fr�"-� <br /> C�a.t�s7'.t?�l�Tic�itl � <br /> :t� 7f/� �,F���,P sr'jP� .�ds T f� BdaJ1a f�s ,P�qtli.eE� <br /> orU ���3 ��,e�G��� i0� o�" a� ��a -79 <br /> � f�7LG SfbJLs S✓/�9L,L .�Q� .E'�'/.�a�`,:.,L �".@�it'f TiY�' S/7-� <br /> 70 �+itJ f�L1P.P�fl��L�,pTJaiCI <br /> �` /�llesT G'd�tP�%G<Jl7Xf�,c.1.. ,e.��ji'r(,o(�ie7Dr97-ioiu,5 �ic/ SQtds' <br /> /�e/d.�sT/Gb�TloJt/y Rcfb,er g y /aqv/D<, i(/EL50.(� fI/!Jb�9SS0'C!R TES <br /> DRIVEWAY SECTION <br /> PEi3Mllr IS VALID FOR 60 DAYS {� � <br /> I <br /> COPY OF THIS APPLICATION TO BE PUSTED i" LIP <br /> ON JOBSITE. }I � ��� <br /> CALL FOR INSPECTION 259-881 1 j�30 �• � 30' <br /> 24 HOURS BEFORE CONSTRUCTION Tne undersiyned owner hereby agrees lo ho10 antl save harmless <br /> the City ol Everett Irom any antl all claims lor tlamages. costs. <br /> expen5e5.or cBUses of aclion�htl may arise becaUse ol lnstallalion <br /> an0 mamlenance ol ihe impmvemenl or o�her nghl-ol-way use <br /> herelo appbetl br antl IurlhCr agrees lo remove Same u0on nobce <br /> Imm Ibe Crty ana lo replace public property tlamagetl Ihereby. <br /> . DEPARTMENT APPROVALS <br /> SEWEfI COMMUNIGATiONS <br /> //ff � <br /> OPAINAGE TRAFRC �j I <br /> G <br /> WATER PLANNING �GNniURE Of AVPLICA.Vt <br /> y�� i- �'�L Ho,�,s�,., ��. <br /> STREET FO�nESS ' I I <br /> i � Lc l�EK E T�/ � WN, '� ��1 U� <br /> CITY�^� IIP <br /> V DFOR ONS ON Dn ' a,J� — 77�(f �y– (p�j� <br /> TE�EPMONE NUMBE�i A�tERNAiE <br /> � � r` . ;� 7a 31 _ 8-ir- �o -- <br /> ,,Frno�eonscor,s��u�_ to �-c:..= <br />