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. . a 6 <br />�\ <br />eveie� <br />e <br />APPLICA710N FOR RIGHT-OF-WAY USE PERIIAIT <br />I lh ink <br />PUBLIC WORKS <br />ON <br />Type or print clear y wi <br />PRESS HARD - YOU ARE MAKING CGPIES <br />PERMIT NO.��L---- <br />E�'ERETT, WASHINGT � <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: ��V �' <br />�iil��--r S b.v <br />GZ .. l._ �� /n � � 0�/ Z. O �o R%�t7ti SMi�/Orv <br />HEREBY APPLIES FOR PERIAISSION <br />AT THE FOLLOWING LOCATION <br />� i��5 P � l7 i ✓ti- ✓�i <br />9�Z� � �E < <br />� <br />DRAWING (WO� DONE) OR THREE PLANS ATT�,ACFIE�: Q" "' <br />� �� ��n����f� <br />�� <br />-� ��r�-�-�� � F-`-� �- 6Z iM�a.r,ti G�s-F'� cx�--✓� e� <br />� � , ��_ �„��,,,, �e ��.�,�,�. l�-e-Q . <br />� ���� <br />PERMIT IS VALID FOR 6a DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPEC°�'ION 259-887 7 <br />24 HOURS BEFORE rONSTRUCTION <br />VIENT APF <br />STPEET <br />/, ' <br />��� ����� �/�7� <br />APP OVED FOR CONS UCT�ON �—� �A�� <br />, P l, �(^ � � � - j - F�c7 <br />�1�.X�a ���,� <br />pppqOVtU AS CONSTHI C ED �A�E <br />_r,GNSTftUCTlO���%ns euu_r <br />DRIVEWAY SECTION <br />� �� <br />r� +I'� LIP <br />i 30 -- 30 I <br />The undersignetl owner hereby ag�ees lo hold antl save hnrmless <br />the Ciry ef Everett irom any antl all claims lor dama9es, costs. <br />expenses, or causes ol action Ihat may arise because ol installalion <br />and ma�n� I etl lor and lun CPrage es �o oemOversama pon not¢e <br />herelo app <br />irom Ihe Gry 2ntl lo replace pubbc propurly �ama9ed Ihereby. <br />� � �I /� ' / � � TERNATE <br />TELEPHONE NUMf3ER <br />3130 �� � <br />on1E <br />