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evereh� <br />� APPLiCATION FUR RlGHT-QF-WAY USE PERMIT <br />Type or pnn� cleady wlth mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVFRETT, WASHINGTON PERMIT NO.���� <br />^� i <br />APPL�CANT (UNCERSIGNED) AND FIRM REPRESENTED, IF ANY: � � - ��7L-c �,,,f I �,.Cm�`S"` � �� �/ � � �"'� <br />'1 <br />_'�- � <br />HEREBY APPLIES FGR PERMISSION TO � ��-' � ' � � �' �'"� � -�V... i V �'-��J /` 2-1 <br />AT THE FOLL OVrIN�3 L.00ATION �� � � ( �~ �� � / � v r--- <br />DRAWING ('•. JRK T!' �iE O�,NE) OR THREE PLANS ATTACHED: <br />CONDTTIONS: <br />1. That portion of driveway within [he righ[ of vay muet <br />Le puved. <br />2. llriveway to have 12" concrete rubber gasket pipe under ditch <br />crossing. <br />PIERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECYION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />� ___ <br />iE15[R <br />iDRAiNAG[ <br />�_I WpTEH <br />� <br />STNEET <br />COMMUNIGA�iONS <br />TRAfi1C <br />PLANNING <br />� � �,z: 3�x7/F'/ <br />nPPROVE F CONSTNUCTION AiE <br />/. � � � Q (" <br />�1 l�, ��C� Qn, l,-�L�� <br />RO ED AS CONSTII ,CTED �rE <br />/ � ,� <br />",I�_ _'�Gl'�'d�!i:'iSf'I_�II;: <br />DRIVEWAY SECTION <br />�� --� <br />L \ { I" LIP � lii <br />�30 —� -- -_I_30" � <br />�T' <br />7hc unAersigne0 owncr hereby ogrees to hUla antl su�c harmless <br />Ihe City ol Everelt Irom any and a'� claims lor tlama9es. cosls. <br />CxpF.O5C5. Of WUSCS OI dL�iJO Ih.d flllY Bn.•• �OCdlISC OI instahabu� <br />and mainienance ol IM1C improvement o� ol��n ri9pbol�wi�y usc <br />tiMC10 dPPlic� 10� antl �urtbei ByrCCS b rCnb�+: same upon nobte <br />bmn ihe Cily an� to �eplz<e pu�lic C�opnrty a�magen iM1erel•y. <br />%-. <br />� , � �,---f -- <br />r EU��'�I�CAN� � •� � <br />n• U F.�� I � �i _. <br />nooness <br />i-:l•-,. ,'T- �", '"J�3=Go <br />C�TV /�, ZIP <br />-'�I/'y' ff�� l � � � � � <br />TELEP NENUR1p F� ` 4LiEl1NRi[ <br />/ <br />onTe � �' -- <br />���� �--- - -- - 19i9 <br />-i <br />