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i <br /> - evereh' I <br /> Q APPLI�CATION FO�R RIGHT-OF-WAY US� PERMIT I <br /> � Ty{:e or prinl Clearly wi�h ink <br /> �� PRESS HARD-YOU ARE MAKING COPIES <br /> PUBLIC W.ORKS <br /> EVERETT,WA.",HINGTON PERMIT NO� �1% I <br /> i <br /> I APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED. IF ANY:=S«I - Q L //^��G�--`>�-��/���-`�7 <br /> HEREBY APPLIES FOR PFRMISSION TO ��`;'����`�r'7'f— T/� //� Of� G/L-G u' �✓� <br /> �F�<� .J ,a/�w �s/U.s w��ic_� ��,�f+ T � <br /> AT THE FOLLOWING LOCATION �� �a �_ �'-'� n-��"G G �}�-�/�� <br /> DRAWING (WOHK TO BE RUNE) OR THREE PLANS ATTACHED: I <br /> I <br /> i� <br /> � <br /> �- 1Z��FF 1 i <br /> i � <br /> -�' ���---c ? <br /> �-_ ` -�`'-..��J d' <br /> i-f1" ?T&A !��L i x V- , ��� (T Y(�) � I <br /> "� I D F W ✓��..� � � <br /> I U S �A �° <br /> �� � I <br /> � <br /> I <br /> I <br /> p e . C'����,� 1-��-��---�� J � <br /> �ic.���--e_ l..n��� DF..��-�. �c��c7, <br /> I <br /> DRIVEWAY SECTION <br /> PERMIT IS VAfLID FOR 60 DAYS � ---.{ I <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON JOBSITE. �30�� 30" <br /> �CALL FOR INSPECTION 259-881 7 <br /> 24 HOURS BEFORE CONSTRUCTION The unEersignetl owner hereGy egrees to holG anE sava�ermle5s <br /> Ihc City ol Everelt imm any an0 all claims lor Oamages. rosls. <br /> CnOCO5E5.Of LBOSES OI BCIiOn��1d1 mdy'AnSB OPCduSC OI InSldlld�lOn <br /> antl mamienance o� Ine impmvemenl o� oiher ngM-ol�way use <br /> �erelo apP��eO IOr antl fur�her ngrees lo�¢move same u0on noliCe <br /> Irom Ine Cny ane lo �eplaCe public properly ddmageA IhereDy. <br /> DEPARTMENT APPROVALS <br /> SEWER GOMMUHILI•t10N5 <br /> DRAINRGE inpFFlC <br /> �l1 <br /> �ypiEp PLANNING SIGNATURE OF PLI <br /> Z / ' � /� W dI� /�{ <br /> SiflEET r1DOH[55 <br /> �. .-r - 9,si� 7 <br /> / ' ' /7/'"� CITY� IIP <br /> pPPH///O���VED OR �N RUCTION ��ArE ��FZ ��7 / I <br /> / ' /� TELEPMONE NU��O[R ALiEPNFtE I ' <br /> V v� ' <br /> � - /CJ-/l� -� 0 I <br /> qPPROVED hS CONSTRUC oA�E �A�� <br /> � CONSTRUCTICN/AS BUILT �EE 1978 I <br /> � <br />