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everen � <br /> Q APPLICATION FOR RIGHT-OF-WAY USE PERMlT <br /> vType or prinl cleany wilh mk <br /> ,PRESS HARO - YOU ARE MAKING COPIES <br /> PUBLIC WORKS � <br /> EVERETT.WASHINGTON PERMIT NO. � � �� <br /> APPLICANT(UNDERSIGNED)AND FIRM REPRESENTE^ �F ANV: d/.ce-'�1iAivhvL� ��r�.-�.c <br /> / i. i! � <br /> HEREBY qppLIES FOR PERMISSION TO�.C' �_� /r� �1' / 57t.�irs'� �j� � � � <br /> �A�A 7 ��'7'l/!L�/!/�-C7[-(��"v+"�oJ /N/ �G�vrwL/ �/Lc/ <br /> AT THE FOLLOWING LOCATION ? / 7� J �� /� �,� <br /> DqAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> iti�s i!!LL e f> icn �nsirJ w� 7� F���c� U�A ;� <br /> �: ;' vr���±!i C���-�s'i� / %�'-��7 CG��_Gtri� ( ti�^t/r✓)i�f <br /> �a�� ��" ' ,�F �` ; <br /> ,%'I�> ; <br /> ; <br /> � — ,�� =� ; <br /> �r � �� ��- : <br /> �� � ���� I <br /> ; <br /> C <br /> , �� <br /> J� �/ � � ,�- i <br /> _�/��"`� ��� � <br /> � <br /> DRIVEWAY SECTION � <br /> PERMIT IS VALID FOR 60 DAYS � <br /> COPY OF THIS APPLICATION TO BE POSTED i�� �iP � I <br /> ON JOBSITE. I <br /> CALL FOR INSPECTION 259-881 1 1�30•�• �.Ir3o" <br /> 24 HOURS BEFORE CONSTRUCTION � <br /> 7he untlersigneA owner hereby agrees lo hold antl savo harmless � <br /> �he Cily ol Everett Irom any entl nll claims lor tlam�ges, m:�s. � <br /> ekpenses.Or cau5es ol pclion ihat may BriSo becBuSe o�insldllNvn I <br /> a�d m0intenance OI Ihe improvemenl or o�hM right-oLway usr <br /> nrielo applietl lor nntl luriher a9iee;to renmce same upon nolic�• I <br /> lrom IM1C Ciiy lntl lo repl.lce pupLC p�oprrly Aam�gp� IM1cicUy, I <br /> DEPARTMENT APPROVALS <br /> i <br /> c�FI:EH COA1h�uNiCnTi0N5 I <br /> pu.:iNAGE TRRFfIC �- I <br /> � l�n„� ����.,� I <br /> ::AI[H PLANNING SIGNATUPEOiAPPLI Nl --"--- <br /> �1�%� G G�C F'.L �R � f' <br /> ,"'r�� /) nooness <br /> �' , � j <br /> .�:;,. _ / �- � �� ��,,F --, <�„� y��Q � <br /> . <br /> �.�. I•• i .' J f^ citr 2iv '�� <br /> �����a�J ED FOH C 5 ON DATE J j 5 j �`(. 2-S�r %n �y <br /> ( 1ElEPNONE NUMULN qL1ERNAiE <br /> �3o/iy <br /> APPROV6U n5 COMSTRUCTED O�TE OA1E — <br /> cor��rrucri���!-°..� ruu_r ,r�- --- — - <br /> ,s�s <br />