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A <br />��� � D�/i�l/�;9T�G <br />rvcretl <br />, APPLICA�"ION FOR RIGFiT-OF-1?VAY U�E PFRMIT <br />��,, �� Type or prinl clearly with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />�. PUBLIC WORKS <br />� EVERETT, WASHINGTOW <br />: APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV: <br />, HEREBY APPLIES FOR PERMISSION TO Cc�sr,�uc� r�X T�P�1D� I����- <br />� i� I .Di/Rilil ,oi�,�� �L i,/A�� �� D.D.�-�/.'7' L�in /'�� „/�- <br />PERMIT NO. � / —��� <br />AT THE FOLLOWING LOCATION_��L/(1 � I%E t�. ��L�—��� <br />DRAWING (WORK TO BE D�JNE) OR THREE PLANS ATTACHED: <br />/�e!' c� 1��c�e� ��a �15 ca.��l�d �� �---�� /!7�l�3 <br />5 <br />� <br />0 <br />PERMIT IS VALID FOR 60 DAYS <br />.-.�n . <br />COPY OF TFIIS APPLICATION TO BE �POSTED <br />ON JOBSITE. <br />CA�L. �OR INSPEC3'1Oi11 259-88 9 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />; sewEn . ,; COAII.IUNILATIONS' <br />� � <br />_.C� <br />'i �RFclAGE , TRqFFlC <br />I � <br />� WAi[R pLANNING <br />DRIVEWAY SECTION <br />� --� <br />�j1„ LiP <br />� 30�� � 30,� <br />ihm undersi�ned owner hereUy �prees to hold antl save harmless <br />Ihe Ciry ol Everelt Irom any and all �laims lor tlamac�es. cosis. <br />erpenses. or causes o� actian Ihai may nnse because of inslallabon <br />antl mzinlenance ef Ihe imp�ovemenl or otner ri9hbol-way uso <br />heeelo nDplietl lor antl IurlM1er ag�ecs to remove Sdme upon nobte <br />Iwm ih� l;ily and to ieplace pubhc pioperly tl�maqed Ihereby, <br />ar. �"✓� -� /%in�0� <br />z�n <br />�S3- ! .� 3 t� <br />iE�EanONE1:UN8EH nJERNAIE <br />��.�i-�y <br />ome i <br />— — 1�.�l�'LJ� <br />�" 1 �J%8 <br />