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c� <br />APPLICATtON FOR RIGHT-OF-WAY USE PER6�iT <br />Type Or prirl Glearly wrth mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERET"i, yy�SHiNGTON <br />PERMIT NO. r I ��Z- <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �lNC I� • KCJ S K Y <br />HEREBY APPLIES FOR PERMISSION TO � I SC, � NC L� I 1 L 1 T�i /-\CC CS S� h} LJ A r S�(,�J� /� <br />-- �.i F 7- S�A,—� �v .#Z3 5,��c ���.�..1 L-v, <br />AT THE FOLIOWING LOCATION <br />DRAWING (WORK TO BE DONE) OR THREE PfLANS A7TACHED: <br />I� <br />��, i� � T o�- s. . �oq�s a���{ ��S i��l�r�o�u <br />+����r E-r v"-3i C- s� ��;�� iu Fa2 �1 PP �e�x!�4 L� <br />Sr-lA�� 57/-�`� c�,� A-2�����IL S���c► S. <br />�J ;'V'�t"'t.it'���-,1- �<rFkE�.s `t� sc�aL4 i=C:`_.11r�..��1� I��C�v�C-�> Gc G�c�S-�1Jc, <br />E�CiSTiIJC� Sf�C-E7 ir�1+�Ruv�i�lc.u-rs <br />2) %�PVLI CAAJi" ��ie��;S 1 o I�ESi-Ui?l= I�u/j 17 �/�'�r?�c[�.�EN�EIJT� I(U Cu/.�ViI 101�lS <br />��!;�s;� uo� o� �1rc.� iNq�U cue�ex�rLY Ex�s%S <br />3) I\I��I�C�i�l.�7 I�C�L��S T6 Ct�v�1PLv W�TH J�Jd� Su�ZF�9C� ��la�NAF�[_ �.orvTi�uLS <br />v2 Coui�rf�o�S 2rc���ecD +3Y ������ Wtw'KS 7�Q�Nc� �,2�z/CCr,� <br />�f) �\PP��cr.��Jr ?p I�KuV�JE S•�c3�A�l1TAL CN/�ilJ Q1J� LOCI�---/�177 TU C�T'i' <br />�H A�1a l�,Ui> �-c�e� ANI� Tv KEC-� GAj<-. LoCKCD AT A« 7�•x1�5 <br />S� ��Pt�c�auT QC�QFES To nC�uv�2e q�� oT�E2 A.,�Cess.4Q4 ?c-��ri�Is Fu✓ <br />�P�xAriaU <br />L� �z�u,T iS VAL�D F(�o+tit <br />qPR�� z, �v�� t� ,�1�� z, �s�� <br />i /J< .,, <br />-� � DRtVEwAY SECTION <br />PERMIT IS VALID FOR 60 �1AYS <br />COPY OF Ti-IIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />�ALL FOR INSPECTI�ON 259-8tQ 1 '! <br />24 HOURS BEFORE CqNSTRUCTION <br />DEPP,RTMENT APPROVALS <br />�3,�T <br />SE,� 3,t <br />� �aiN4GE,t.� <br />1����3 ,, - — <br />COMR1UNiC%� ', . <br />fRAFfIC <br />PLANNING <br />APPROVED nS CONSIRUCIED OniE <br />�� �i' . _i,�. .i'_.',i,��`�I.II�'�i <br />� +I" LIP � <br />� 30'�1 �30" <br />� i <br />The undersigned owner hereby agrees lo holtl and 5ave harmless <br />Il�.e C�ty ol Everei� Irom any antl all c!eima br tlamag�s. <osis. <br />eepenses. or ceuses ol aztion �hat may anse berause o� installabon <br />ano maintenance ol nir �mn�^��m+n� or uther nqht-of-�eav usew _. <br />herrtu apPlictl lor in� li:�••�er -i��pis to �emo�e sam^ .iPpn nohce <br />trom ini, CqY ani� L� ie�� dce FubLc U�ol�eih il.baa9e�f IM1urebl. <br />� � � Oi�.d�l�.� � <br />SIGNAL��F APPLICqI <br />�`' '��`'` � �— <br />/D�Nt>S q <br />�1��c_ S� E�NS L��� <br />��,� Z�� <br />(o y_I- 795 �_ ��zs _ <br />IELE�HOY' NJA18 R ALtERNP1E <br />3 z_�-�� <br />DniE / _ <br />-% IU� <br />"` 1978 <br />