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everen <br />e <br />APPLiCAT10N FOR RIGFii -OF-WAY USE PERMIT <br />� Type or print clearly wlth ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />�PUBLIC WCRKS <br />o EVERETT, WASHINGTON PERMIT NO. BD�a�07 <br />� <br />�APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �T�B � Linden <br />;'0 <br />iYHEREBV APPL�ES FOR PERMISSION TO �e wijnc �ement, �{% it. O'i OUT ���{ .Ct. dr�VB WSy �-�� <br />i <br />� <br />�, 7016 Lower Ridge Road� L'verett� wash. 98203 '"' 1`. - <br />AT THE FOLLOWING LOCATION _ <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�� �os=;�1� � ��;�-,- -� ��e� ��. <br />�,�s <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL IFOR INSPECTION 259-881 1 <br />24 IHOURS BEFORE I:ONSTRUCTION <br />DEPARTMENT APPROVALS <br />SEWER <br />DRAINAGE <br />WATER -- <br />STREET <br />COMMl1NICAilONS <br />iRAfFlL <br />PLANNING <br />�—T�. ��.�s,/�� <br />APPROVED FO C NSTRJCTION�J Da <br />���('��2G!+s� ' ��-�O � �'Zj <br />DRIVEWAY SECTION <br />� � <br />I'� LIP � <br />I 3n" I 30" <br />�•--�•— <br />The untlersigned owner hereby egrees to holtl and save harmless <br />Ih2 City Of cvCfeil �fOrtl 8fly Antl all CI6im5 (Of tlamBg85, cOSIS. <br />expenses, or causes ol action ihat may arise because ol in;talletion <br />and maintenance ol the improvemenl or other right-of-wpy use <br />nereto ap0lietl br �ntl Imt�ei agrees m remove same upon nobce <br />Irom �he City antl to replate public proGeny tlamaged Inereby. <br />���:� � �.�.�� <br />SIGNR�E�F qPPLILlN' � <br />7016 Lox��81.s1�P- u�art <br />nO04iE5S <br />Et�erett� Wcih 9i3?03 <br />CItY LP <br />T[l NONE NUMOER ALTERNPTF <br />_ ...11]�f 2�tJ�iQ ___ _.___.__— _ . __ . <br />