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� <br />. '� . <br />� _^ <br />, e�erett <br />1ei �PPLICA�ION FOR RIGHT-C�F-WAY USE PERIV�iT <br />� Type or print clearly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERNIIT NO. U �S� <br />r G <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �/� � P �i.. /' /�'�ri. "i � /"� �"'�' " �G �� `' �v'' � '�L �'� <br />� ` <br />HEREBYAPPLIESFORPCRMISSIONTO �'°`f '^ �` �""� �f �J�Z���"N, .J�""C� 'O�K �`i�' Tor <br />, r, l o - c, �-��`�� i�cY77C�t.0 cCC' G./lc` P. � I c...�� X� S/� �C '!"Un <br />-. . �: ,, �a ✓ !/ / r 1/ ' <br />AT THE FOLLOWING LOCATION S� k� � L v 4��' �/ r�G� = G U P�' r/T• -- <br />DRAWING (WOI?K TO BE DONE) OR 7HREE PLANS ATTACHED: tJ"��� �� i' J <br />o�oP- U.�,�-�c,e <br />v <br />I �s x �1 <br />! I P C E <br />C � <br />W <br />O <br />�O� ' <br />„, . G t;, <br />.��: <br />.��:. ,,_ <br />��S' <br />� jZd� �(i <br />,.'� �,-� � �___�i. / _'"_'___. . <br />.----� � _ " ! <br />s-, • <br />F;f . <br />$ - <br />�a�fi">«... . � � _ , .. <br />� <br />PEFiMIT IS VALID FO�i �O DAYS <br />CpPY UF THIS APPLICA i ION TO BE POSTED <br />ON JOBSITE. <br />CALL POR I�ISPECTIOP! 259-889 1 <br />24 HOURS BEFORE CONSTRUCTION <br />cnnWAGE <br />C:AiER <br />STREET <br />DEPARTMENT APPROVALS <br />CC'MM1AUNICATIONS <br />TRAFFlC <br />PLANNING <br />CJ `�i'':`��.iil_!l%!l�l`.r;15!;i11L��. <br />; . �5', „�,; . . � <br />DRIVEWAY SECTION <br />� � <br />I" LIP <br />30" �— 30�� <br />The undersigned owner hereby agrees to holtl antl save harmless <br />ihe Ci�y ot Evere�l Irom any antl all clairrs br Oamages. costs. <br />enpenses, or causes ol ac�ion Ihal may arise because ol inslnllation <br />and maininnance oi Ihe �mproaemenl or oiher right-of-way use <br />hereto appliea lor ana luriner agrecs to remove sam-� upo� noecc <br />Iwm lhC City and to repldce public p�operty aamagetl IM1eieby. <br />/ <br />� ,. / <br />�'$IGNAiURE O A iCANi —`r <br />��Z �U � C7 /�L _ ' <br />F�CFE55 <br />>eo �ie �rJ�- 5'FsiSS — <br />GTV Z�P <br />'�b5-oiS� 3•�S- 3z�/-� <br />iELEPMONE NUhtCl[� A�1EqNAiE <br />�c,� �% � 0 --- <br />on,E <br />1978 <br />