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R I <br /> � <br /> � everen <br /> pPPLICATION FOR RIGHT-OF-WAY 'U�E PERMIT <br /> � TYPe or print cleerly with mk <br /> PflESS HARD - YOU ARE IAAKING COPIES <br /> Pusuc woAKs <br /> pERMIT NO.�— <br /> EVEFiETT,WASHINGTON ` � / ' ( �,' �t) � ����L+ � � <br /> APF!-ICANT IIINDERSIGNED) AND PIRM REPRESENTED, IF ANY: i �� -� ��Vy � `'4 . - <br /> � .-- . , i . — _ <br /> HEREbY ARPUES FOR FERMISSIOM TO -�_���-�—�=—� " � —� -- / <br /> I � �� � ,(1 �.�-� �'��) f� 'rl VL��I i���� ;)[_ <br /> AT THE FOLLOWING LOCATION_ � / <br /> DRAW�NG (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> I�CecY Q�-t'G.� 'S o,�+ Gtrc" r a � e <br /> �� II II �O� ✓1. � reC a���K \ S�o�e s <br /> Gt v��l( ��r tl�C� G� 2.ro�t I S � "� � J J <br /> � I � � s�r� <br /> � �}-� i s ��t i s o ,n c s�e�=_� r__.�.�' � <br /> ,/ c'j , � j -lrn <br /> ��� <br /> �t�.a- � ��d- �o� 01- �n� �r.,,�e wa y <br /> `�, A 4 /_ t ///���av�� <br /> (/v � V �"!�" V i z. /`��!�� i M </ S'� (� � <br /> (��l�.�p A�/9 L:�- <br /> sC�ir�'P�� � "�, ,$� o S/ya� o�-vf <br /> DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAYS f.— � <br /> COPY OF THIS APPLICATION 'f0 BE POSTED �� � � ��P L30� <br /> ON JOBSITE. 30" <br /> CALL FAR INSPECTIOPI 259-8f31 1 <br /> T�e untlersignetl owner hereby agrees lo hold ontl sav� hnrmless <br /> 24 HOURS BEFORE CONSTRUCTION �he Cily of Everelt Imm eny ond all clnims �or tlamnqes, costs. <br /> ezpenses,or c0uses o�����on Ihal may anse becnuse o�mstallalion <br /> and m,iNenance o� �hc �mpmve���nt or olMr ryhl-oi-way use <br /> _ �erelo ap0lietl !or nnJ Iw�I�ce�Qubl c p•upeolV`��'magc0 I�e eby�. <br /> Imm Ihc CitY antl lo reP� 0 <br /> DEPARTMENT APPROVALS <br /> COMMUNICAilONS I <br /> SLWEP <br /> �(fI� <br /> TRAfFIC • ') ���F. S / (J. ��(j�_�, I <br /> DRAINAGE /// /:� — <br /> �� ` {/SIGNATUfiE f APPUCAW <br /> P�ANM�+G � / /I �/ <br /> \YATER ��� ( � ��!!�i — — — <br /> — A�D�E55 ,�J �� Y/ 1 <br /> STREET U x� / ! .�y---"---- -'-- <br /> Z�P <br /> iiY <br /> � �,�7"' /0% �a '_S �t�- C <br /> i nnr[ —n�TeHvnre---- <br /> APPHO ED FO GONS RUG 10� iELE�'��0�lE NUM�E� <br /> ' — � I <br /> ' on [ <br /> D�1E <br /> �PPROVED AS CONSTRUCTED ___ <br /> 'i' i., I;�I_IP.i����-(',T!C�`JR`::'���1 �;T!.� �ir <br /> _--_----- 1978 <br />