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everetl APpLICATION FOR RIGHT-OF-VIiAY USE PERMIT <br />� . Type or print clearly with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />� PUBLIC WORKS <br />o EVERETT, WASHINGTON <br />� <br />�APPLICANT (UNDERSIGNE7) AND FIRM REPRESENTEO, IF ANY: <br />� � Pave wijoh cement <br />i[Y HEREBY APPLIES FOR PERMISSION TO <br />Arne ii Linden <br />!y7 ft. of our <br />PERMIT NO..BD-a o� <br />£t. 3rive way. ���'�U <br />� <br />3 ' :Y }"f�I: k... � <br />J AT THE FOLLOWING LOCATION 7�16 Lo�er Ridge Road� r44rETCt't� 11�Sf3t1. 98203" ���� <br />DRAWING tWORK TO BE DONE) OR THREE PLANS ATTACHEU: � <br />� ✓V.,S�Q�� �B-r'f , <br />�� �o�s�,�l� ��;�-� <br />�ks <br />c.�-�� �/z� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-@81 1 <br />24 HOURS BEFORE CONSTRUCT�ON <br />SEwER <br />ORAINAGE <br />wATER <br />STREET <br />DEPARTMENT APPROVALS <br />COMh1UNICHTIONS <br />TRAfFlC <br />PLANNING <br />�°��- .� .z— �/�y/Po _ <br />APPROVEDFO C NSTRUCTION �A <br />��iCi+�l �i1�!"q2��i�-�U � �U <br />PRWED AS CONSTRUCTED DniE <br />CONSTRUCTIOfJ/AS 6UILT <br />DRIVEWAY SECTION <br />j I" LIP _ <br />��o�� _L3o"_I <br />The undarsignetl awner hereDy egrees to hold and seve harmlass <br />ihe Ciry ol Everoli Irom any antl all claims lor Eeme9es, cosis. <br />e.penses. or cause: ol ection that mey arise because ol installalion <br />antl maiNenance ol the improvement or other righ4ol-way use <br />hereto appbetl br antl fun0er ngrees to remove same uDon nonce <br />Irom Ine City and 'o replace pubbc properry �amagetl Ihereby. <br />' U l�N�=../v�% � <br />SIGNA RE F APVLICANT <br />%O1E TAheT' R.d� Ros3 _ , <br />RDORE55 <br />Lverett� h 99203 z�a <br />ci�v <br />TEL n VE NUM�ER AI�ERNATE <br />DAT����n <br />