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� <br />J <br />� <br />evcretl <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or priM cleedy with i. k <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PEflM IT NO. ��jQ���/.� <br />APPLICANT (UNDERSIGNED) ANO FIRM REPRESENTED, IF �\Ny: � ��(«'/J �. • � <br />HEREBV APPL��i FOR PERMISSION <br />A'f THE FOLLOWII:G LOCATION <br />DRAWIN�; (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�Oivd�Tic N % <br />�_l,y� �T/NC— (UK/jS d. l �irTa=,�s ili1� Gn/il�7i»�/G�•f✓> — /Lv� <br />i�f)i��ill•� Dc.v� 7D S.f).a.�. i�i.�+ii✓C,— ('ii✓s,"t�ucria.V lvi�L <br />/�F .t��/�i�i/Jf�."�> ('. �l /%(i//UJ�ir> � �'fs�l i/C4 U rG % i/�- <br />/7t..juc `v.,.Lrs ��vs.�.:�,-�.zs S��i�s�i/cT'�^�. <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSRcf.'TION 259-8B1 1 <br />24 HOURS DEFORE CONSTRUCTION <br />4LIYU1 <br />DEPARTMENT APPROVALS <br />f.(lAl1.lUNIL411111�Y . . <br />URAINAGE IRRiliC <br />'i 1YFIER VINNNMG <br />:,,,�E, <br />-- — <br />,t�MiDVEf�'� titN�.iTUN_ ___'___��`_t�iL�.__. . . <br />' �-9-�i <br />, APPfiOV���STPUCTED , unrE <br />co��srrzucricr� n:> i3i_ni_r <br />0 <br />DRIVEWAY SECTION <br />� � <br />�� 1 i„ l i � -----%� <br />�30�___ _�30" <br />Tne un0ersignetl owner hereby agrces to holtl antl save narmless <br />Inr C��y ol Lverel� Irom any antl nll claims lo� damages. cosls <br />r.pcnses. o� causes o� atbon IMI may anse because ol mslnllahon <br />dn�l rndintenanc> o� IM1n improvrmral oi ulhci righl-ol.wnY ��sc <br />uaclo np[�In�� I�r Hntl lurl�ci agrees lo remOve same upon nat¢e <br />huin IM1c GtlY .����f lo irpidLc puhL[ propcitY darn,lgptl IM1ercbY. <br />�':i�=f�-�/ -�`�'��---- <br />�_,���h Toi�,-�� -����33_ <br />��.,--�;5���,��,��� � -� � ,;�,;��...;.;.,--- <br />i <br />i <br />na�[ — - <br />rtF _-- _--__— ____19%8 <br />