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X1..1 <br /> MrFFPn <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly will)ink <br /> PRESS HARD - YOU ARE MAKING COPIES �� <br /> PUBLIC WORKS Dl/I I <br /> EVERETT,WASHINGTON ^ p PERMIT NO.—! <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: CARTER CO 11STRU=Q! I1J4_— <br /> HEREBY APPLIES FOR PERMISSION TO 7- GbtACrre!"- <br /> T1-yLLALG <br /> AT THE FOLLOWING LOCATION 107 -7 PLI J <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> $/ <br /> n.SI//�'1 ♦♦/ 1/11 1 1 <br /> 1. C%LS{ LVAS W G\�+ ebPl lwndn(n. ASr JC Pn� C1A r. n`L e30 t �n +C <br /> Pvl. JSr7p Ce.�Of9 �.•.T',7� IG� . <br /> u.'l <br /> 1 .-.-. 's1 I <br /> 1Ill ll�X n f ee1 e, <br /> � <br /> Q'O Nw t1Q <br /> Arbue wn-Is "no - "n- hoc 1•n��wtl�1 � 1 1 ('� <br /> `f�I r1 - r,tw vlr1J a ww--� <br /> aiO-Fi+\\y fC...e�I N( n..✓ irG(�10.c. No T <br /> -a 1 <br /> Pl�owt� ` � <br /> 3. Au w,nc Ce..-Ae��� wll.s�- be LyAw .-c-b- <br /> LRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTED <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-691 1 <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to holo ane save harmleaa <br /> Ine City of Everett Irom any and all claims for damages. costa, <br /> ,carries.or causes of action that may all bsceus of Installation <br /> and maintenance of the improvement or olhef.11 1-o6 Way use <br /> hereto applied for and further agrees to romp fa a upon notice <br /> from the City and to replace publ,e pro y d aged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER <br /> COMMUNICATION', <br /> i <br /> URAINAOE TRAFFIC <br /> .1 <br /> WATER PLANNING SIONAT OF APPLICAN <br /> ADD ss <br /> STREET <br /> 3--8J cov�ireiuz 9cPZU� — <br /> L4� <br /> A y FO I DA <br /> TELE PMON NUMBER R TLRNAI[ <br /> , y <br /> DAY DATE <br /> A ST <br /> CONSTRUCTION/AS BUILT FEE 1976 <br />