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� <br />evereN <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />� Type or p�int dearly wah mk <br />_' PRESS I1ARD - YOU :,(;"t MAKING COPIES <br />PUBLIC WORNS <br />EVERFTT, WASHINGTON PERMIT NO. "��� <br />�,I. , <br />APPLICANT (UNDERSIGNED) AND FIRM FEPRESENTED, IF ANY: V'f L % u.v f`.c'i+� 7i.s.6�� _ <br />HEREBY APPLIES FOR PERMISSION TO r1�7ldr��R n% .srC S/.I� w.r�iC Sr r i/ �.✓ _ <br />AT THE FOLLOWING LOCATION �"i S�� LTY 4��'/ YA �. L= I/F/� r` �%�. <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />— ------- ----- --------- _ _-------- —_-_ -- - - -•.— <br />� P,fie �/'� r/ sTt�/tJp/�iC'6S Fa,�; s��,�-1,c1/�Lk G'cL1���',Pl,(C i�o�✓ <br />�_� — _. <br />��sEc uo,-�s m�� <br />/�,?;p�c'ta�S co�Y <br />� <br />� <br />cN= <br />L ��ti1�r9 5���'"��k <br />.t <br />Ei,��.r„ ��Fr <br />C,�.er� <br />� �� <br />�/N.a y <br />�'�"a �� <br />--. _ <br />y,r� s..T..a • )�a.e� -------c <br />0.7����sw7ar/� �. ..� �� C <br />�' 'S <br />�ir K���Lwrc D 7 �i <br />---- -- .. ... _ —'---------._. �_.-�+� <br />� � ° � --�I ! <br />E <br />- - _ . _ . _ i r--- i <br />• y � �� <br />s%�5���"' <br />� <br />PERMIT IS VALID FOR 60 DA.YSi <br />COPY OF THIS APPLICATION TO BE POS'i ED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259�861 1 <br />24 IIOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVAIS <br />�j'/Ghy__I i'/,£w�i.E�X�J!%LJ/ // ZG �S'�} <br />APPROVED FOR CONSTfi�CTION /� OAi <br />ii <br />APPROVED AS CONSTRUCTE� nnTE <br />F"T'� � „� �, <br />DRIVEWQY SECTION <br />� � <br />I" LIP <br />� 3 �� -- . --•}.30„ <br />The untlersignetl owner hereby egrces to hol7 end save harmloss <br />ihe City ol Everetl irom any anC BII c:almF lor tlemeges. costs. <br />Qe(�CnS¢5. Of Cep5E8 OI BC�iOfl IhBi TAY PfiSP �pL8U5C OI �p51BIIBhOn <br />and meinlenpnce al I�e improveme•it oi o!her ng�4ot-wPy use <br />�ere�o apphed br e�0lurt�er aqreea �o remove semB upon nobce <br />Irom tne City and to re0lace Putat pro0erty Oemagetl Ihere6y. <br />i U, -'r.�,_.._ <br />SIG UR O� A�PLICRNi <br />/ <br />/ ��S/���{ Y� N�` <br />IIDOFE55 <br />� /�i�L- f %a 4'� r� i . � L�/v� / / %S O � . <br />'Crtv ZiP <br />334�•3y71' <br />TELEPHONE NVMBEP PUERNRIE <br />on+f <br />_ j y - <br />