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�-.-- <br /> , _ _ <br /> everelt <br /> �►PPLICATION FOR RIGHT-OF-WAY U�E wEF�MI'f <br /> Type or prin�cleerly with ink <br /> I PRESS HARD - YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br />� EVERETT.WASHINGTON /� PERMITNO. ������ , �`/ <br /> AI'PLICANT (UNOERSIGNED) ANO FIR61 FiEPRESENTED, IF ANY: / ��L��C� !i? �C�.0 �. <br /> _ �, � 1 �-- ! � <br /> HEREBY APPLIES FOR PERMISSION TO � t``` ' "� � -�— T �^"� � � r�• �''`-�"��" � �.��� Vr'U �F Y� I <br />( — --- I <br /> AT THE FOLLOWING LOCATION � � �� � �rG�'�'� ":4� � L��= �. E�T, L:'A� �FlO.� _ I <br /> � DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> i <br />� �gutrw� / <br /> �D� � �° � I <br />� ` ,� I <br />► <br /> Y-i2 <br />, <br />! <br />� DRIVEWAY SECTION i <br /> PERMIT IS VALID FOR 6�O DAYS {� � I <br /> I <br /> COPY OF THIS APPLICATION TO 13E POSTED I" �IP <br /> ON JOBSITE. �gp�� I 3G'� <br /> CALL FOR INSPECTIOFi 259-861 1 ---'r' <br /> 24 HOURS BEFORE CONSTRUCTION � <br /> T�c undcrsignetl owner heiehy agrees ro hold antl savc harmless <br /> Ihe City ol Evereit Irom any anA all claims br Oemopes. costs. <br /> Cxpen5e5.or cnu5C5 OI BCIiOn IhTI mdy a�iSC�eCBuSc OI�aSlallali0n <br /> an� maiNenance ol R�e improvemeN or olher ng�4o1-w2y usc <br /> nere�o�pplied lor anp IurlhCr agrCes�o remove Same upon nolice <br /> ��om Ihe Cily antl 10 icpiace publ¢ pwperly dnmagc�l I�ereOy. <br /> DEPARTMENT APPROVALS <br />� SFW[II COMMIINIG��i0N5 <br />� pFAiNRGE iflAFflf. � � � <br /> �� I %� ,r ' L" <br /> yyq}pp PLRNNIN4 SiG 4LUAE Of vu'Nt <br /> hf����c n1o�Kz �etiC t <br /> slneer _ r � � . � �-.�vE1.� J A��RESS � �� 1i C ��, ,L' <br /> �................__.............................._,. /f <br /> t ^ L ✓r • . '7 L'� �C� �1 <br /> 1 � --\ r H I(IBO • CITV 21P ' <br /> V'ii� <br /> AV•ROVEDFORCONS. 11CTION oATE < �; � ' ,�/_S <br /> iELEPr10NE NUMpER / [ RL1ERNnLE <br /> f'.l � - ,.- ,� �, l; � � ���.,��_Ll_� — <br /> APPROVEDASCONSiRUCTED �--Oa7E-.`T� GD S � DATE <br /> li�ll�I,A! I;.'�-r�C�I�IC,i•� fii.�-�l Ij��:L��i�.11 �Ti 1978 <br />