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I <br /> .' <br /> CVPFC1f �~ <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> Type or print clearly with ink <br /> PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT.WASHINGTON n �f -PPERMIT NO. \� <br /> APPLICANT (UNDERSIGNED)AND FIRM REPRESENTED, IF ANY: CARTER L_ WIROC. 1 IDI -Ll)C- <br /> HEREBY APPLIES FOR PERMISSION TO -T191 +a i 2 1 C.cv1c-r-Q-+�- Or I cwa wa u <br /> AT THE FOLLOWING LOCATION -lr UeKt <br /> DRAWING (WORK TO BE GONE) OR THREE PLANS ATTACHED: <br /> 1. QxIS� 1vSs 5/w a.y Gk�a; me v.n aw,.+Pyr.Y �' n^y c�n w.(('nJ <br /> �n�N r11vw``1x Go.tt 6"111 `o C- fcfm'f'.X oft PC'QVeQ ....Y ie.,r )evC fr.X 1v <br /> Y•W. 1.+J11p Ce�orS .S�``v��iL 1 \l0.� 1 47. <br /> - 1 / <br /> �. E11>»1tT 1w Pfvue wn..•s ST'�O MIA. be-1 uk L/�11 Le1Q Q'Rr v^lw NOrrJrSy Ir `^rti <br /> UfxVewn� �1Pv//� Zas �oe- 1•n��'wl(eJQ- t'• a.wE��L.. Crir w..nt� let <br /> S <br /> 1 -BO FaSFII.,E fCvwev N( ^,D cc e -- <br /> 1 <br /> ' RLLOW t-D <br /> S. All Gone 4-0 <br /> Hca . �r <br /> 1 <br /> i <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS <br /> COPY OF THIS APPLICATION TO BE POSTEDI� LIP —� <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-881 1 30" _L3o" <br /> 24 HOURS BEFORE CONSTRUCTION The undersigned owner hereby agrees to hold and save hamtsss <br /> the City of Everett from any and all claims for damages. costs. <br /> expenses.or causes of action that may arise because of installation <br /> and maintenance of the improvement or other ng 1-of-way use <br /> hereto applied for and further agraIllost to remove same Upon notice <br /> from the City and to Ieplace p I¢ property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS <br /> DRAINAGE TRAFFIC <br /> WATER PLANNING /DDRESS <br /> ON URE O 113 <br /> S L _ <br /> STREET <br /> ZIP <br /> APPROVED F 5 C I DATE CITY .--7717 S 3 —A4/19 <br /> TELEPHONE MBER ALTERNATE <br /> CFO 5�/WVA2 <br /> P O ED C TE DATE DATE <br /> CONSTRUCTION/AS BUILT FEE 1978 <br />