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� <br /> . � - . _ ,,,,, <br /> ` , � �'��3 <br /> everefl <br /> '� APPLICATION FOR RIGFiT-OF-WAY USE PERMIT <br /> Type or print clearly with�nk <br /> PRESS HARD -YOU ARE MAKING COPIES <br /> PUBLiC woRKs FERMIT NO.��— <br /> EVEAEi7.tYAGHINGTON , <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: � �A��—� `—'�' '��� <br /> HEREDY APPLIES FOR PERMISSION TO �s �T ��� — <br /> S�o - .2.3 =� •t� �r/ Er.evcf/` �/0 9BZo3 <br /> AT THE FOLLCWING LOCATION_ <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACFfEC: <br /> �,�����c��iril� b,e�i.�s Ta �= ri�.yT���� ra <br /> S TD�/y1 �Y�S'Tc/� /I/ <br /> �f S TD.��2 Gl�i9 7� /�G//LI���� �/1��.e�/%l������C� <br /> � ?'� ,5,�' /���i�;.�".�I�/�//� ��'TG�t/,���� <br /> T�S.E=X/_sT/�lGs 5 >D� SYS z�-c/''� <br /> *- Ta P� P�ea�i.t>.�b s i T"�- /s �-.G s 3 Ty,�iv !5���� <br /> DRIVEWQY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � ----� <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSIT� I 30' I 30" <br /> CALL FJR INSPECTION 259-SH 1 1 �' `� � <br /> 24 HOURS BEFORE CONSTRUCTION Tha undersigned owner hereGy agrees to holtl end seve harmless I <br /> ' Ihe City of Everett Irom any and 9II cleims for damages, costs, <br /> ezpen5e5,or CeUseS ol eGiion�ht�may arise Oecause OI InSialla�ion <br /> antl maintenan[e ol I�e impmveme�I or olher ngh4o�-way use I <br /> herelo apphed br an0 lurt�er agrees Io remove same uDon nolice <br /> �wm Ihe Ci�y antl lo rev�ace Dublic p�oper�y Aamoge0 Ihereby. <br /> DEPARTMENT APPROVA <br /> SEWEP LOMMUNiCRTiONS <br /> � p / <br /> pRAINAGE TRAFF�C �� ,- / / , <br /> \ � <br /> /�— <br /> � iGNATURE OF A LiCANT / <br /> WATF.R NNING � C, /� S� <br /> � - " ��c� i9 � . � _. <br /> nooa-ss � ! r <br /> STPEET C�,{��V <br /> L� r�r � �:�s� I p <br /> c�rv <br /> . � 3�' �� �� JS`�' i�G� <br /> p�FOR C U .TION TELEPMON[Y.VMBEB FLTERN/iE <br /> �!/!�/D � /� �`�G <br /> APPROVE�AS CONST UCTED . DnTE <br /> DAIE <br /> CONSTR�J^T!O�!!1aS BUILT �ee 1978 <br />