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I <br />� <br />everelt <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMI'i <br />� Tyoe or prinl cleedy wl�h ink <br />�� PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS '� � <br />EVERETT. WASHINGTON � � PERIy11T NO.�,/� i,�' <br />APPLICANT (UNDERSIG�ED) AND FIRM REPRESENTEO. IF AN :� <br />7 � N/a <br />HEREBY APPLIES FOR PERMISSION T0�!� � L�� � �� <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THiIEE PLANS ATTACHED: <br />�DiviJ�TiC N S <br />i_'X��7iNl— �C�K/�S � l•urTr'.es �/il� u�.vl�7�»i�G�f✓� — /l�v� <br />iJf/illi/G� Ourv� 71J Sfi�.vi� /%i.�tii✓C l'�i✓s.�u�r�cN /iicL <br />/3.: ,e'7�iJiiJ�iJ C�t il.f�iir��fD � .c'�fdtiilc"v !"L; Tiii� <br />/�Ci.scic `v�.��es /NSv/.c. �.ls Si/T�S•;ycTio�/, <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE P05TED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 7 <br />24 HOURS BEFORE CONSTRUCTION <br />�a.wu+ <br />I� onairvnce <br />1VAiEl1 <br />DEPARTMENT APPROVALS <br />cornr.iw��cnnor,s -- <br />iunvric <br />VIANNiNG <br />4- � � <br />/aor� ��O�T1ryG_ — i. _— _ <br />� �p I STRUGiION � �^'� <br />� ��� �-9—�/ <br />! �APPqOVED AS CONSTRUCTED ��^�E <br />�� CC`id:_',TliUC%TIOiJ.�i�S IiI�ILT <br />DRIVEWAY SECTION <br />� � <br />�I LIF <br />1+30 �_-- �30 � <br />Tne un4ersigne0 owner here0y agreos �o holtl anC savo harmlass <br />t�e C�ty ol Evereit Irom any ana nll daims lor tlamnges. �osls. <br />r.penses. or causes ol aClwn Ihal may nnse �ecause ul mstallation <br />an� ma�ntenance ol Ihe �mprovemenl or Oihrr ngM1l-ol�way usc <br />❑ivelo apl�Petl �oi and �wiher a�ices lo �emove same upon nolice <br />Irmn R�e Gly a��d lo repince pubhc proprity rinrtwgM I�mwby. <br />