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everetl <br />APPLICATION FOR RIGHT-Ot=�WAY L•!SE PERMIT <br />� Typo or pnnl cleuly wtlh mk <br />PRESS HARD - VOU f,RE MAK�NG COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />PERMIT NU.� ��=� �� <br />APPLICANT (UNDERSIGNED) AND FIRIA REPRESEN7ED, IF ANY: �yJ� ��� V� r I_ ,(1] �� _ <br />HEREBV APPLIES FOR PERMISSION 70 !' �� F i." <br />AT'HcPOLLOWINGLOCATION /�!tl I�C.!^ Ji� � �(y; �C I' �/ �1 O�'__ _ <br />DH 4WING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALE. FaR IWSPECTION 259-88t 7 <br />� 24 fIOURS BEFORE CONSTRUCTION <br />5[WCR <br />OPe1N�4E <br />WAiER <br />DEPARTMENT APPROVALS <br />COMMUNICAlipNS <br />PINNN�tIG <br />5111EET �?-JJ� %� <br />�� / i `j//'/.�/ 1, (. � /�/��// <br />i <br />APPROVE FO NSTHUC I 4 oniE <br />/ <br />/ �� � •� � � � <br />A � RU ED nA�t, <br />I�..ii�\� �I��:.l:l.�'il�i��. ���!::�:.I_ <br />DRtVEWAY SECTION <br />— I" LIP ----� <br />�30„ I __ __�30" <br />-i- <br />T�e unaenigneG owner �are�y eprees lo �old ena seve �armless <br />ine Gty ol Everetl Irom any und ali claims lor �amepee. ws�s. <br />e.penses, a causes ol eclion Inal may pruc �ecnusrol inslallalion <br />ana mainlenance ol ��c impmvemen� nr olncr rig�Pol-wey usc <br />hvrclo nppLea Ioi ara fur��er dgrces b�emove sdme upon not¢e <br />��om Ibe C�ly dn� �o repldte pub�rt Pmn��H tlamaqetl IM1MeDy. <br />�/ � � I� �.4� � <br />SIGNA eE Of �PnLiC>N� <br />�� �. L /� t 1�i L/ Il <br />aooi�ess <br />h_�:;r� ��a� <br />cn+ zu� <br />� � ' � � ^ / <br />1LLC�HONf NOMOCR � AL�C�NPIt <br />,-�-v1 <br />IlAlf <br />1978 <br />L <br />