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everen <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />TyDe or prmt Wear�y wdh mk <br />PRESS HARD - YOU ARE FAAKING COPIES <br />PUBLIC WORKS p� <br />EVERETT, WASHINGTON PERMIT NO.1Y� <br />�/' �E��,91(� /si �, <br />APPUCANT (UNDEFSIGNED) ANO FIRM REPRESENTED. IF ANV:�1�-- ����/��� <br />MEREBV APPLIES FOR PERMISSION TO� k� '���—B�K—� �+-�� <br />AT THE POLLOWING LOCATION _� S'32 �►_^�d wi c� E���� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�� K � P�( <br />r <br />� <br />� �� -r't�-✓lCi�% <br />�/� __, <br />� <br />1«�@ 5-�.� <br />��� � ��� <br />���� <br />� a/ra�H oJ e <br />yPj��� a <br />� P � e c.� -- <br />��'" : <br />SQ/w.� <br />/P j �,� t� � <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THiS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-8a 1 1 <br />24 HOURS 9EFORE CONSTRUCTION <br />SEWER <br />OMINnOE <br />WIITER <br />STREEi <br />DEPARTMttVT APPROVALS <br />GOAIAIUNiLAliONS <br />1RAPfIC <br />PIANNING <br />APPPOVED FOR CONSTAUCTION o^�E <br />nr�Wi�tivEo ns coNsinucT[o o�*E <br />IiJITL4L INSPLCI IC�J i'.�nl!rp�7rn <br />DRtVEWAY SECTION <br />� � <br />I'� LIP <br />�30^ j � �_30,� <br />�.�. <br />ine unaersigned owner hereby aB��Y �o nole ene eeve hermlese <br />the CAy ol Everell Irom any end all cleims lar dnme0es. coets. <br />exp[nse5. or tau5ee o� etLon Ihel mBy Hriae beCeuse o� ��SIBIIBtion <br />an0 memlene�[e ol Ihe improvement o� other ngh4obwey use <br />h¢rel0 BppL¢0 101 and IutlhCr BJreC510 fEmovC •iPmc upon nO1R¢ <br />1rom Ihe Cily H�tl to wplate Oubbc Oroperly Jamaged I�ereby. <br />i <br />�J �/ <br />�c�j-��g22 �Z-2'S'G �,� <br />1ELEP�iO'.E WU4Nf.n n�lU�pGtE <br />� _ 2� - s'%— -- <br />DA1t <br />19%S <br />