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I <br /> l III <br /> everetl <br /> I Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT i, <br /> j � Type or print clearly wilh ink <br /> I " PRESS HARD- YOU ARE MAKING COPIES D�����T� I <br /> �IPUBLIC WORKS pERMIT NO. ��S I <br /> EVERETT,WASHINGTON <br /> IAPPLICANT (UNDERSICaNED{AND FIRM REPRESENTED,IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO ���57��1.:.��`��D�� '" � TS /� � <br /> I <br /> I �Y�,Pb,�`�i�� , � i.r1s��� a,e/ sir� D,e��,v — i <br /> -� Mk�D�'sv''� 5 '`' (��a.�` � <br /> I qT THE FOLLOWINCa LOCATION . , <br /> IDRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ST.EF-� T i�9�,edJ��1c�[J%�/�G�TL/.2r`G�� - �ou�� a� <br /> � �"a,2iz�% k'r c.�iri.�-.l� .3�z 5�8` � <br /> � <br /> 1�.Pf�/��G�- ��•e HP�,E'atl�b �'�t�il/S <br /> s�c r�t.,nje s��e �,���-,ecc�rd� �C� To �c- . <br /> PfI(D �v� T/z'.�.� �3> G/�(!5 �--- <br /> ORIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS � -�---+ i. <br /> COPY OF THIS APPLICATION TO BE POSTED �i" uP -�� <br /> ON JOBSITE. I 30" _L 30" I <br /> CALL FOR INSPECTION 259-661 1 I� � <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereCy agrces to hald entl snve�armless <br /> . __ �ne Cily ol Everetl irom any ana all clnims lor Oamages. cosls. �I <br /> � c+penses.or causes o�actlon ihnl may anse because of inslallalion <br /> and mninlenancc ot It�e improvemenl or o��er righ4obway use � <br /> here�o apOLec1 br and Iurlhei agrees lo remove same u0on not¢e i <br /> bom ine Gily an� to replare publ¢ p�operry Oamagcd Ihere�y. <br /> DEPARTMENT APPROVALS I <br /> I <br /> ISEWER - COMMUNIChTIONS - <br /> pRAINAGE iRAIR � �/� _ _ /� <br /> v/'/� V I <br /> Wp1EP PL�NNING NP1UR O A�PLICANI <br /> �;� �- � s�os� ; <br /> STREEi FOU�[55 (� (� I <br /> /� �/�wAiAA� / ��� " I <br /> df'� �! � '�'� g c-1'v G �7 zia � 1 <br /> I ._ I APPROVED FOR CONST CTI �1 .- / T � T � <br /> ,�. � 7Cl � � ! � / '/ S '� 7�? � <br /> / r EVH �vE m 'n ��Y n�rEn�varc � <br /> `�—� :G -_� i <br /> I �G.• i _ ,r_ - //� � j <br /> iI -A PPOVED AS 'NSTRU EO �A�E �A�E � <br /> l I <br /> CONSTRUCTION/AS BUILT ,Ee 1978 <br />