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evereH <br />� APP�lCATlON FOR RIGHT-OF-WAY <br />Type Or print cleorly wi�h mk <br />PRESS HAFD - YOU AFE MAKING COPIES <br />� PUBLIC WORK3 <br />%� EVERETT, WASHINGTON <br />,/ <br />.-.APPLOANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: �Q ��nden <br />USE PERMIT <br />PERMIT NO. � ��l <br />� HEREBV APPLIES FOR PERMISSION TC r�� N�l CCGI¢71t.� iy7 Pt. OS Otlr 'iUL� Pf'• dP�VO Hi�y <br />ATTHEFOLLOWWGLOCATION 7016 I,over�Ri.dge Roed� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />� t_� ,� : . 1 ), -_�� ." � _�„ „ . <br />� �'� �� <br />�'-�_ -. � � - , <br />�-_.� ���� <br />t:�nsh. 98203'�"'�`•y <br />� ✓t; . ��" / - � <br />�, , <br />� ,����` � <br />�. � 0� <br />r �'�f <br />� �, �/° <br />i <br />�� 7 � <br />� � .� � <br />I� �� <br />PERMIT IS VAI.I� FmR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTLON 2�9-881 1 <br />24 HOURS BEFORE CONSTHUCTION <br />snv=_n <br />DR/+iNAf.[ <br />WATER <br />DEPARTMENT APPROVALS <br />CGIAMUNIC/ TIONS <br />STREET <br />f ' <br />� , . ; L.� y/,;`o <br />APPROV[D OR CONSTRUCTION DAiE <br />DRIVEWAY SECTION <br />� � <br />I�� �IP —� <br />�_ 30" ,� r30" i <br />f <br />The untlersigneE owner hereby agrees to nola entl save harmless <br />Ihe City ol Evere�t Irom any antl oll cluims tor dameges. cos�s. <br />ezpenses, or causes ol aclion Ihat may arise because of instal�aiion <br />and mainiennnce of Ihe improvemeni or other nghbob�.vay use <br />hereto apGhed for 0nd lurt�er agrees lo remove same upon nohrn <br />Irom Ihe Ciiy antl to replace puDlic proparry Jamagetl �hereby. <br />�/' � <br />SIGN(�TU�E OF APPLICqNI <br />A�pOROI� LOiiQi � <br />� <br />xvarett. tii�.�n. �� ��, sazo3 _ <br />��.� z�v <br />�K3-2966 <br />TELEVMONE NUM1IBER ALIERN4iE <br />�TulY 21 � 14� _ <br />�PPROVED AS CONSTAUCTED DntE ua1E <br />