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cverett • <br />� APPLIC�Ti��! i=Q{� RIGFiT-O�-VI�/�Y USE PERMIT <br />Type or print cleady with mk <br />PRESS HARD - YOU ARE MAKING COPI[S <br />PUBLIC WORKS ' . • , , <br />EVERETT. WASHI�GTON PERMIT NO. � Z <br />APPLICANT (UNDERSIGNED) AND FIRM REPFlES[NTED,-�IF�ANY: � ' � �' t <br />HEflEBY APPLIES FOR PERMISSION��TO � � � �r ��'+�f .C-/� f.'i � .�r r1 r�/% /%�r%�,t`/�!'lr�i �1'��,' l <br />ar,�����y i>,� � /.ei��/i'�� >,NJ ciTs= �,�'�i��91� <br />AT THE FOLLOWING LOCATION 0��1 � <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�f- .b.x�s%r��:�' 7-c? ���r''l�' .�.�'4f�'.lc`S .��� s ; .C�.f �- % �i��%¢.G':�r=����1; <br />? r' �"C�T S jf�i /O,(fS O� L��r'+�%�-.�.L.�� ; .�' -.. ,�, _ <br />rpY�.cl .�C�= G • .�..r�s�:i�z��'z <br />�, i�i�b �.Pa�a��i �-Z�J�rJG�IU`/' � c.'"- 4 % <br />�i ° ► y �r'b.�a : . G , � 7T� � �"�'.� <br />� <br />�.9� ,�,�''�a,e �"� L�citl s ��t2 � T f G tJ . l�-= r=�.��.G�,E�= <br />r Ci �,�J !�/d� <br />� � !'—�`i'.�`/fif� /'�,�' ����:l�C'a�`"_'/�`a=r u �'�_- f'� <br />� %,t�tlr"ESf:��!�r?I S <br />�` J I <br />t�� `' j,��f� + ��'.�.� � �s .� r.n.�r�, 1�/���=f�f'�U � �'�� .��� �� <br />��,i�.�,;> (C� /%f'�� /!J�' i(,;,.0"�i'{�1��=���;� `,,:r1�. ;.�� R�'l �C' �„�-, .: �__ <br />�:/"',L= L' %�,� i{-- �. <br />PERMIT IS VALID .FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FO:.' INSPECTION 259-8�'E 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS ' <br />COMMUNICA NF <br />TRAFFIC � <br />PLANNING <br />��. . �:�-� i r� � � i, i i �� i., ,,, ��z � I I i_T' <br />DRIVEWAY SECTION <br />� � <br />I'� LIP <br />I 30" I I 30" I <br />The untlersigne0 owner �ereby ayrees to holtl antl save harmless <br />Ihe City ol Everell Irom any and all claims for dameges. costs. <br />expenses. or causes o/ at�ion �hat may anse beWuse oi ins�allation <br />and mainlenance ol Ihe improvemenl or oiher nghl-ol�way use <br />hereto ap01ie4 lor antl �uriher agrees lo remove same upon nol¢e <br />Irom Ine City and to replace pubhc property tlamagetl I�ereby. <br />c/ <br />� I J <br />T P1. N- UTApER ALiERNAiE <br />�� —G � � �(� <br />OnTE <br />---- --- +.<i � A <br />