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APPLIdCATION FOR RIGHT-OF-WAY US� PERMIT <br />Type or pnn� clearly wtlh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PERMIT NO. v � <br />dLIC WORKS <br />JERETT.WASHINGTON <br />APPLICANT (UNDERSIGNED) AND FIRM. FEPRESENTED, IF ANV: _/✓Uh <br />HEREBY APPLIES FOR PERMISSION TO ��J'� ��� Q�� <br />AT THE FOLLOWING LOCATION <br />G7/G.4- <br />DRAWING (WORK TO BE UONE) OR THREE PLANS ATTACHED: <br />t�dP/ �� � �� <br />. �,�_y� <br />�.tJD,/T/DA�Y'L /`���P�di9� -' �PFdiS.F1� �.�/�izlS TUB,E�P.FC'�1�.15 <br />�% ..�z�/� <br />�'�J� I��t��Us <br />��R ��r�iUs <br />� <br />_____._.___ _ _.__- <br />�'� ��-� ��= .b - <br />f ��.POr/.�-f� � �i9T�=,D 3/3��� <br />PERMIIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />AP OV D FO NS I N .' / pAiE <br />• �'��,,/. �,.�',�-��/,� =��� <br />_. ..a-� .. .. __. . . _LL _ _ ._ . . __.__._._. <br />i•4F(�VVF[`A��(�N91iil;(;ICL ..,,i. <br />DRIVEWAY SECTION <br />� -� <br />�— +I" LIP <br />�30„ I _ __ _�30" <br />�i- <br />Tho un0ersignea awner hereCy egrees to hold end save hurmless <br />Ine Cily ol Everet� Irom eny entl all cleims lor Uamages, cosls. <br />cevenses or causes ol flt!ion Ihal may anse �ecause ol inslallebon <br />and mnintenance ol I�e unprovemenl or ol�m righl-oLway use <br />�ereto aOPhca lo� and Iwlncr agrces b remoue same upon nol�cc <br />Irom inr Cily and lo replace pu�l¢ pmperty tlamaged Inere�y, <br />s�G A E o���JAPPL r <br />/O. // _! ��� <br />AppRktiS <br />�v��T 982D_� <br />��r� z��, <br />'Z�9 � ��b / <br />tiLCPNONE NUM�C� n1.�t�iNn�f <br />i <br />