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everen <br />Q APPLICATION 1=0R RIGFIT-OF-WAY USE PERMIT <br />�� Type or print c!ee•ly with ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />� PUBLIC WORKS � aly� <br />r� EVERETT, WASHINGTON PERMiT NO. � <br />J <br />,-APPLICANT (UNDERSiGNED) AND FIRM REPRESENTED, IF ANY: � A J+iRdQA <br />-� HEP.EBY APPLIES FOR PERMISSION TO �°e ��h uearstt4� iyT St� OZ OL1P 'IOL� �t. �TiQe x�iY� _ <br />AT THE FOLLOWING LOCATIO� <br />701G I,oxer Ridne Road� �wbrott� i:�h. <br />DRAWING !WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�,;, is.�,; <br />, - .. . <br />�.1. - �-� , � -,. >> �;�- <br />� `— ._...,�1: �� . �. .1�.._ . <br />I" <br />� <br />� l �- � �`�Z <br />PERMIT IS VALID POR 60 DAYS <br />,� ���` s <br />r� �' <br />D[ O� ,,� f <br />� , �/° <br />� �i <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />�CALL FOR INSPECTION 25A-881 9 <br />24 HOURS BEFOPE CONS7RUCTION <br />SEWER <br />DfVAINAGE <br />STREET <br />DEPARTMENT APPROVALS <br />COMMUNICATIONS <br />TRqFFlG <br />P��NN�NG <br />� ii ' / , . . � _"!, % w/ <br />. / i . � % i /��~� _ <br />qPPROVEO�OR CONSTRUCTION DATE <br />APPfiOV[D AS CONSTRUGTED OnTE <br />� <br />INITIAL INSFECTION REG�UESTED <br />DRIVEWAY SECTION <br />j I" LIP � <br />r30��`i- � 30" <br />I <br />-r- <br />The undersignetl owner hereby agrees to hold entl �ave harmless <br />Ihe City ol Evere�t Irom any antl all claims lor Aamages, cosis. <br />expenses, or causes ol ac�ion thal may arise because of installalion <br />antl maintewnce ot the improvement or othe� nyM1t-ol-way use <br />hereto applietl lor antl further agrees to remove same uFon not¢e <br />Irorti Ihe Gty antl to replace pabl¢ proper�y tlamagetl �heieby, <br />/ � %. / <br />A �� <br />SiGNATl1RE O� APP��CnN* � <br />701G — <br />nonaess <br />< <br />�'rorotS� Wash. �' �`� 98203 <br />CITY Z�P <br />qK�-2965 <br />iELEPHDNE rvUn!BER 4LTERNntE <br />_�TIl].1L 71- i QRO _ <br />oniE <br />1978 <br />