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everen <br />APP�IC/�TIOIV FOR RIGHT-CF-iNA'� U�E PERMIT <br />I � TyPe or print clearly wilh ink <br />� FRESS HAHD - YUU ARE MAKING COPIES <br />PUBLIC'rVORKS <br />EVERETT. WASHINGTON <br />i� <br />PflRMIT NO._�� <br />APPLICANT (UNDEfi51GNcD) AND FIRM REPRESENTED, IF ANY:_._. ( GXLL/2 <br />HEREBY APPLIES FOR PERMISSION TO � N ST �(-��- S r/', N D f\�I� � UE�� �2EE/U 1� �fi �l <br />, �t i�� �JE �NI ��� � <br />S�V� � c Sr.3 ; � o�J f���T»ti? `� ;- ��-' �vE�2C,.��.�1 ��c' <br />AT THE FOLLOWING LOC:..-ION_ ___ ___ . � <br />' _'_�__.__. __......_._ . _- __ _.... ___._.._ <br />DRAWING (WORK TO E� DONE) OR T'rIREE PLANS ATTACHED: <br />zl0 <br />� <br />� <br />r <br />L <br />r <br />< <br />D <br />ry <br />D <br />-I <br />�T <br />G <br />K <br />r <br />1/ <br />T <br />m <br />� <br />� <br />� <br />m <br />a <br />�� <br />m <br />U <br />r <br />� <br />Q <br />r� <br />< <br />� <br />v <br />h <br />1 <br />� <br />�. �� <br />�n 16s � <br />ITT-� <br />� -- - -� - <br />cc�reen WA� <br />PERMIT IS VALID FOR 6� DAIPS <br />COPY OF THIS APPLIC�9TION TO BE POSTED <br />ON JOBSITE. <br />CALL F'OR IPlSPECTIOf'd 2_59-9�1 9 <br />24 HOURS BEFORE CONSTRLlCTld�d <br />� <br />� onninnce <br />1VATEP <br />DEFARTA9ENT APPROVALS <br />�o,,,, ,,,,, ,; ,,, �� <br />rnnFFic <br />PLANNING <br />V1 <br />Y�.��'�iL�'1i7: -..e, _ <br />� <br />i �'.E/2 STI�uDAR7 EVC/2CiRtE�U\ <br />L WAY I4HYG-GVEnIEAIi(�{'j(�Ql'kC-�J. <br />zS/W's may be c�a•s� �uc%Pd <br />� �sr� y Px��p�t a5� r. <br />DRIVEWAY SECTION <br />�� S' <br />- n��,x�,���n, <br />� � I" LIP <br />� <br />30" � � _,r 30' �� <br />The under5ignc0 owner hereby ogrees to holtl antl save harmless <br />Ine Cily o1 Everett Ircm any and all clainis br tltmages. cosls. <br />expenses, or causCs a� 3cbon Ihal may nns� 6ecause ol insl�llation <br />antl m.unten��nce ol �he impmvemeni or olher r�9ho-o�-way use <br />ne'eto �pphetl br antl��unner a9iee5 to �emove same upon nolicc <br />.:rn �be Cily antl Io replaee publ¢ pm0�rly Onmdgetl Iheicby. <br />��� �.,z����'��`-� �� � <br />y __�- <br />SIGNniUNF OF PPFLIC4N1 �� <br />' (504 "�,,1,+.�.u�c.. /l�.wi- CP. �% .��Scf' � <br />nonn�_�s � � <br />� <���� /lw.�' 9��a,� <br />���•. :�� - <br />is�- /,�3y i•80.vice �'�c+aJ.' %75-95�9� ) <br />TELEYY.ONE VUed6El1 A9� �,. iF�f� <br />2=,.�0- 98 <br />DAl( <br />�I . . � . . . . . ,i .. . . ... . — _ _'_ _ — � <br />� <br />