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evlreft <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with Ina <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS 77 <br /> EVERETT.WASHINGTON p Co1 PERMIT NO �h <br /> APPLICANT NNgE_RSIGNEDI AND FIRM REPRESENTED, IF ANY. �7 CARTER -Cl�S hT p UC-'T'1Wj--T-jL:--- <br /> HEREBY APPLIES FOR PERMISSION TO -J- ✓1'S"�Q 1 ` I / l��C r'C,� S�1 U� LUG 1� <br /> AT THE FOLLOWING LOCA71ON 107 <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> / 1/'1 1 1 <br /> --- C-�lT ,re ikA1A^ ok e.K <br /> .S V n <br /> \ot- fCf gt.' VT of T fCv�oVIJC e...Y :G,r lc�G frX <br /> � <br /> 1 <br /> r1. Pt �s <br /> k- \ot \ 7�-wLl r�Y - Ctl+- <br /> I�fvu e. wr�-1 5 11av e- n/\�/ <br /> 1 �0.CIJ. j.. .+e, lac.�lo.. - <br /> [ KNockIlyG- OFF O F ��+� IS No T <br /> ¢KL Al r.J!ww.-� 1 o rUL-.o.� <br /> -a 1 <br /> 3. AU Wvmc- <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> �' COPY OF THIS APPLICATION TO BE POSTED I" LIP <br /> ON JOBSITE. <br /> a CALL FOR INSPECTION 259-881 1 -- <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save harmless <br /> the City of Everett from Any and all claims for damages, costs, <br /> e.ponses,or causes of action III I may Anse beceus of In allatlon <br /> and maintenance of The Improvemonl or othm h IRI-waY use <br /> hereto applied lot and further agrees,to remove ss, a upon nonce <br /> from The City and to replace public ptoparly d egad Ih Preby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC <br /> 0 <br /> WATER PLANNING SIONAT OF APPIICAN <br /> 11 <br /> IF <br /> STREET _' �n ,1/[` ADO 5s, �/J�r� <br /> �//i I ■ y, J,C,—,� 3 V U CITv�i/�/UGZip <br /> yCJ_7 <br /> —A/P\O� VLU rvv%-u F/" IVVII!!�� p„ E - 3SS-�-71� 3�3-&"149 <br /> TELEPHON NUMBER ALTERNATE <br /> / L <br /> Mt <br /> fP gp E U 5 fl C ' OAT / GATf <br /> CONSTRUCTION/AS BUILT FEE 1978 <br />