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o <br /> f <br /> er�ren <br /> t APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> j Type or print clearly with Ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT.WASHINGTON �� -�-� -�-� �pPE.RRMIT INO. -I— <br /> APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: Cu�'�_L'CJ l ) -�-CL(j C: Iu Al T QC:!- <br /> -2, 1 " <br /> IC <br /> HEREBY APPLIES FOR PERMISSION TO � 1 ' -FwVIC 1�+�'�1 Y �:'L Ilt l�T r• .._ <br /> A I I AE FOLLOWING LOCATION i n-) <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � - 11 <br /> ,_JD,Lk. 1'C IONS ! 1 / 1 1// 1 <br /> 1. ey Iyi Ire 5�yy n.Y CA , "re Nnn{gw P,f.0 Awy CIAw.nn`l- cto-e. Q\, <br /> cJ,1mr.•n`\1Y W.\e}1. e•.rll \fine_( r[�n.�ekY ur I CC.Y,0VerQ ..-.Q V:eflneea -k+ -%I^c <br /> �. Ey.L♦};n,�cl`r,.,�...,r..ls `s�,o\..1�. �� .. � ,((I,L�.Q �� v\fw l�a.,.../f•,t iF ,Af,�, <br /> C,(\Vr wn-�5 nAv((It�� Rf �C 1`+'f�n.11 evY - fist 4T..11`1.\q C�U-1 w..nl r- IeG <br /> �o�.+ll� rC vnev vN�� �»J �('[�lOtcrO aA v.f..r \F vre wa, to c.•�Lo.. ..�� <br /> e.KL1�-ty` cl r.�f wn� 10 G.�Fw.. — KfvOC kI N(r Ori• O � Cc.IQIi 1�! N_=T <br /> FIT Wt-D <br /> 3. QII eo..e CCv RIN..l•a w.10- be o, Ae.vr. C-A to <br /> 10� <br /> ✓ �I <br /> � a <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TU 29 POSTED -- ( P' LIP <br /> ON JOBSITE. �30" 130" <br /> GALL FOR INSPECTION 259-881 1 -- 'i' <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and esye harmless <br /> the City of Everett from any and all claims for damages, costs. <br /> P.penses.or causes of action Thal may arise because of installation <br /> and maintenance of the Improvement or other nghl-ofway use <br /> herelo applied for and further agrees to remove same upon notice <br /> from the City and to replace public property damaged farriery <br /> DEPARTMENT APPROVALS _ i/ <br /> SEWER COMMUNICATIONS �� I <br /> / l <br /> ORMNAOE TRAFFIC •�� <br /> -WATER --- PLANNING SIGNAL OFAPPLICA <br /> STREET ADD SS IF <br /> CITY Ir' <br /> py FOR CONSTRUCTION T— oat - -.' <br /> Js_.1 <br /> TELEPNDNE NU BER AU lnNAt[. <br /> APPROVED AS ONSTRUCTEp GAIL DATE <br /> I iUiTIAL INSPECTION REQUESTED Iii--- 1978 <br />