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I i <br /> , r } � '� <br /> II <br /> Ie�eretl <br /> ; APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � Type or pri d clearly with inh <br /> � PRESS HARD - YOU ARE MAKING COPIES.;: <br /> I <br /> IPUBLIC WORKS �� ��p <br /> EVERETT,WASHINGTON PERMIT NO.��(GD— <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: � J�2(!V� �� �–�02 cj — I <br /> HEREBY APPLIES FOR PERMISSION TO �N STN G L .� �I �V�C� P.a T J/2 i✓� <br /> I <br /> AT THE FOLLOWING LOCATION h' � �y Z �� ��{ /'� ✓ F` V�� � _ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> C�,�b�7i��cJ � a �,e o,eD�ti,���= ��o - �9 <br /> ��<A��s���i,r,� o�z,v �,��i�r�� zy���•��P��r�vr� <br /> �F/�/'�'T�•E'1/�GS �/Sc� l�•PQ�1ir'J1� AlG ST•P.11c �/P.�S <br /> P'�•�'S��t1Ci e9.e�iP st.�/b oTs�� c�c��PF.��d.��-rd.cl.s o� <br /> Tit'� s/ �-.� S/1/Q�G BC/'��.Pl>lJ�',D P�P/a.� Ta CD.tfST,eD�'-'T�7� <br /> �`NAr�r,�iQG v�ly�sA<ia�r! i,� T�'��.PrP/.lJfll��ir�ii��i11� - <br /> A�� s'fr'� Gv�S T�.�GJ��.K1�,�71'Gii!/.c' S�t`�'GG �.b T <br /> ����T�.e,,�.c,� Sd�GS i.(� Tif'is i9•P.�=/z' �/�'fkG .Grl� <br /> ST�1�'�g�-� <br /> ?�` TH�H�,'Y.�l� B�9.P.P/�;L° /C1Ji� S.�"•b/�P�itl r .C�?�%✓�'/I%G Sf/iPGG <br /> /�T,,9C iF.�/�L�'� 8l /y1�U�Y�fi�/L�f'G /lE�iC/S �fT1�.✓e <br /> C�d.(5s7.��1�T/c�21 . <br /> ;l� 7�`/� o,�-��v,�,e s.YyP� �ds r !� Bct�J� .9s .��qr1i,EF� <br /> orv P��3 ��,e.�G���� i�,9 0� � Q�a -�9 <br /> JLL f�LG S�ILS S�i9L,G �' .�/.�a�11 �".@.�i/l >/1�S��G <br /> 'TO �it.l f�i4�.P�U�dS.C��yT/asCl <br /> �` �llfsT G'o�stP�%W�7Xi9�.L. ,e,��1�C.oC�"�7D�9Tio�i3 iic/ sQ�G.S <br /> /�t/d�STilaU'FTlaJ1Jy Rcfb,e7-gy �qv/bL, ,{/�6S4� frAlb�9SS�ClRTES <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS j� -----� <br /> 1 <br /> COPY OF THIS APPLICATION TO BE POSTED i" �Ip <br /> ON JOBSITE. 30�� � 30"_� <br /> CALL FOR INSPECTION 259-881 1 <br /> 24 HOURS BEFORE CONSTRUCTION The under5igne0 owner hereby agrees to hold and seve hermless <br /> the City ol Everett irom any and all claims lor damages. wsls. <br /> eapenses.or causes ol action�hat may anse because of mstallation <br /> and mamtenance ol Ihe imF�ovement or other nght-ol-way use <br /> hereio applie0 br antl Iuriher agrees lo remove Same upon nolico <br /> Irom Ihe Cny antl to replace pubbc property tlamagetl there�y. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICAiIONS <br /> DRAINAGE TPAFFIL � /[ <br /> �.� <br /> WATER PLANNING IGNATURE OF APPLICArNT <br /> . �/o�d �- -F�� TDiris�,� A�/C. <br /> STREET ApORE55 <br /> � �c%� e 7�'i �,�J„�. -�'� `l,�l U3 <br /> CITY IIP / a <br /> I V FOR ONS ON on ' a,s� — 77�(f �,J y— (p/�..J{e <br /> / � TELEPHONE Nl1A1BER FLiE�NP1E <br /> r ,�� 'l,�;.�;� � �� 8_�/- 8�0 <br /> � APP OVED AS ONSTRU D iE �/+TE <br /> I • ' CO STRUCTION/ASBUILT �EE �978 <br />