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everett <br />e <br />APPLICA'i IOP! FOR RIGHT-t�P-WAY USE PERMIT <br />Type or print cleady wit� ink <br />PRESS HARD - YOU ARE MAKING COPIES � <br />�d//67 <br />PERMIT NO. __ <br />PUBLIC WORKS <br />EVERETT. WASHINGTON <br />AT8ER1'SONS <br />APPLICANT (UNDERSIGNED) AND FIRM REPRES�NTED, IF ANY: ___— <br />REMODEL OF EXISTING STORE ARE1� <br />HEREBY APPL�ES FOR PERMISSION TO <br />6731 EVERGRh'EN WAY <br />AT THE FOLLOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />°�';,0 c�e ��� �j-� ;?;c�!� ��� ��rf�.-�' . <br />, <br />� ./ �.��(� ``� � �'�� �� <br />:C' <br />;,,,,,� -�.,�c�� ,�� /z%�-.�-H--, ;; <br />���.�,�� c.�. T' `, <br />� .,� T —��-� ,�-�" ��L��l�' �''a�<��,��.� �i�,���t� <br />��%�^LGc—�'� i <br />--t,/, <br />u� �-z,� J�, <br />�� <br />lPERMIT IS VALID FOFI 60 DAYS <br />COPY OF THiS APPLI�'A7'ION TO BE POSTED <br />ON JnBSITE. <br />C/s►LL F"OR INSP'F_CTION 2�a9-81S 1 1 <br />24 HOURS BEFORE CONSTP.UCTION <br />;EWER <br />DIiAINAGE <br />VICTER <br />DEPARTMENT APPROVALS <br />cor.+rnuNicntions <br />TfiRFGiC <br />PLANNING <br />, -�. s �6 <br />i os*e <br />��i.. -��� • <br />�/ <br />DaiE..'., . � <br />�'i <br />COf�1STRUCT�O�/AS [3UILT <br />;:,. _ <br />DRIVEWAY SECTION <br />� � <br />I'� LIP <br />3C��_' •1 3� <br />The undersignetl owner heruby agrees to hold antl suve �e�mless <br />Ihe City ol Everett f um any and all clnims br demeges. costs, <br />eapenses, or causes nl action Ihat may arise because ol Instollation <br />antl mainlenanre ol Ihe �mprovement or other ngni-oi-way use <br />hemlo applietl br ana lurlher agrees m remove same upon noime <br />irom the City and lo repiace publ�c pwperty tlamage0 tnere�y. <br />ROBERT W. CROt� <br />/ �� ,-r—.�—� � <br />SIGNATUAE OF AFPLICANT <br />/ 9�z.3 �f��� s <br />nooaess <br />k-� �� T' 1.��sh �'0 3/ <br />2 •� 1 Z g <br />