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i <br /> everen i <br /> ; Q APPLICATION FOR RIGHT-OF-INAY 11SE PERMIT , <br /> ♦♦ Type or pnnt cicarty wilh mk <br /> I PRESS HARD - YOU ARE MAKING COPIES <br /> IPUBLIC WORKS I <br /> EVERETT, WASHINGTON PERMIT NO. / Z I <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY:_ �. MI Cl7CtE I N�!' Np r' q� � <br /> I HEREBY APPLIES FOR PERMISSION TO C fCC� !.( 1'C%) E, 4 2 � 7'7 � <br /> i i <br /> I <br /> �1 I 1 �l. � <br /> � AT THE FOLIUWING LOCATION_I SI d I.��/I S�I-E E'� �VC/'p ( ( I <br /> I <br /> � <br /> i <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: i <br /> �z „ ,� � feti�e �i�,�y � ��e y ,.� �� 6e, ,ti <br /> sou f,� of �`u�v � y�i� d S e f �u c �f � f /��se ; <br /> i <br /> U /C <br /> �� <br /> � i�il�l <br /> � <br /> , <br /> ` - <br /> ; <br /> � <br /> � <br /> IDRIVEWAY SECTION I <br /> ! PERMIT IS VALID FOR 60 DAYS � <br /> COPY OF THIS APPLICATION TO BE POSTED -- � � <br /> I" LIP <br /> ON JOBSITE. — <br /> I CALL FOR INSPECTION �55-881 1 � 30�� L I sc" <br /> �t <br /> I 24 HOURS BEFORE CONSTRUCTION <br /> �7�e untlersignetl owner hereby agrees to �old antl save harmless <br /> ihe City ol Everetl �rom any antl all ulaims lor tlamages. cos�s. <br /> � erpenses,or causes of action Ihat may arise�ecause ol inSlallalion <br /> antl maintenance ol Ihe improvemenl or oiher rign4ol-way use <br /> hereio apphed :m ann furiher ag�ees to remove same upon not¢e <br /> irom Ihe City and ��� replace public pmperty tlamagetl 'hereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COIAIApNICAilONS <br /> DRAINHGE TRAFFIC <br /> I <br /> WATER PLANNING � �L���� <br /> SIGNATU�E p�qPpl ICAM <br /> 5� /3fh,. S-�: I <br /> STFEET PDDRE55 --��..'1 , �' . ' I <br /> � �V�Yef-��_ �.1�cr,, ' , 'q$'�O� � <br /> d'� . .r ` '/� �r� �'f,�'-� arr Z�v, <br /> m'PRO E FORCONSTRU TI OnTE �5� - 415��` ��' .:�?59.-`�3l6 <br /> TELEPhONE NUMOEF � AI�ERNnt� . <br /> � � A��u '18,-:198! I <br /> AP O ED A C NSTRUCTED on*E oq�'E`y— � '[, �---� \ - <br /> 1: . i <br /> � COfJSTRUCTION/AS QUIL'f �EE _ 1978 <br />