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ecve`f" APPLICATION FOR RIGHT-OP—WAY USE PERMIT <br /> Type or print clearly with Ink <br /> PRESS HARD.YOU ARE MAKING COPIES 6c)- I�id- <br /> PERMIT NO <br /> PUBLIC WORKS <br /> EVERETT,WASHINGTON CI � <br /> A E <br /> APPLICANT <br /> ANT (UNDERSIGNED)AND FIRM ,AEPRESENTED,IF ANY: <br /> I 1:ns~l-a I <br /> HEREBY APPLIES FOR PERMISSION TO _ <br /> _ Lor 7 <br /> AT THE FOLLOWING LOCATION_ 1 S <br /> 7-I-Se <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> ' �1� PfG Mw Iewr•P�C ,. <br /> 1. e,e�S-F�a.g s w �`-. . . n(� ieY.-ovr� A.9 ray' :.ae� •'� t <br /> gror <br /> nom. »acs• <br /> . • ! . � w e�rtLe� . �. 1•e <br /> • dr„faw 'S. s�.ov.\�.. ye- /� .. wq G� N+.+s ar . I <br /> • 7l. E.,e�e}�»., "`1 �oe �.es�ll e.Y-�"o' ark+�"? d l (} <br /> • of\J a'WMS RC1( N[,,.e.drWt"AM ;I <br /> ab-Yo.\1.,1 re..,e'.f o•„`✓, 'ft{�. O C-� C`^1 _ <br /> 3, Liu .wnc fcw.was rnL+s 1 � i <br /> tACaree�- ¢a•. po.,"�.oA+ i—f. <br /> DRIVEWAY SECTION <br /> ECALLF <br /> LID FOR SO DAYS -� <br /> PLICATION TO BE POSTED �_j_ :.L'P L30" <br /> �O <br /> 8811 <br /> PEC'TdON �$9- me ands elgnee ownal hereby agrees to hold and save harmless <br /> FORE CQNSTFlUCTION the City of Everett from any end ell claims for damages. costs. <br /> expenses.or causer of action that may arla9 Doof 1- allaben <br /> and hereto applied maintenance or the end furtherev agrees rovermen to�e novor <br /> l a t upon nonce <br /> from the City and to replete public pr e y egad IM1ereby. <br /> DEPARTMENT APPROVALS <br /> _.—� CDMMUNICAlION6 <br /> SEWER <br /> RAiFIC <br /> pRAINAOE <br /> SI NAT OF AP CANT <br /> (� p MI!IVO <br /> WATfR ±v'I U <br /> RE65 � <br /> 6TPEET /�{/ 4 <br /> 3 i y— Zip <br /> eel :�!w� - — /y y/ — <br /> DAIE x-21 S�L ERNNE <br /> PPR V �.— •, <br /> N..._RU..P...............-.. TELE NUMBEn <br /> TT 3 --2.li" DAT 6 2 <br /> DATE <br /> pR V AS O S RUC 1978 <br /> CONSTRUCTION/AS BUILT FEE <br />