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�_ <br />everen <br />Q APPLICATION FOR RIGHT-QF-WAY USE PERM17 <br />`' Type or print Clearly wi�h mk <br />PRESS HnRD - YOU ARE MAKING COPIES <br />PUBLIC WORHS <br />EVERETT, WASHINGTON PERMIT NO.�� <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: ? m- f���I ���l�,'�� ��� � iII �, c„� , <br />HEREBY APPLIES FOR PERMISSION TO �� "' <br />AT THE FOLLOWING LOCATION <br />� ��. % <br />DRAWING lWORK TO BE DONE) OR THREE PLANS ATTACHED: <br />�� <br />� <br />� O> � <br />j1�nC�; ������ <br />PERM9T IS VALID FOR GO DAYS <br />CGPY OF THIS APPLICATION �TO B� FOSTED <br />ON JOBSITE. <br />CALL FOR IR➢SPECTlAN 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />scwrn <br />DliAiNAGE <br />A�PRC VED FON CONIiI RUCTIO;J <br />APPFWED nS CO� 3TFUGTED <br />� CO!AMl1NICAT10N5 - • � ' <br />iRAFFIC <br />PLANNING <br />--- or.tt �- -- <br />t..� r[ <br />. I . .� '_�-il 1-� i ��� <br />�� ��;-��� <br />DRIVEWAV SECTION <br />� --� <br />I" LIP <br />(,30��_l_—_— � 30" <br />r -r- <br />The undersignetl owner hereby a9rees to hold entl save harmless <br />the City ol Eve�ett Irom any and all claims lor damages, cosis. <br />experees, or causes ol action t�at may anse because ol installation <br />nntl maintenance ol the impmvemmt m ol�er nghi-til-way ose <br />lierelo aOPlie4 lor antl luriher ayrees Io remove same upon nolicc <br />Irom I�e Ctly antl to replace pubhc O�oO���Y tlamaged Ihereby. <br />./NU��t_ <br />„M,a,.. , <br />i i } _"�>l.� �„� <br />�, r, :. .t ��l � �, <br />Si�N�TIIRE Oi APPLICANT --" <br />�i 1 ���o rJ <br />nooaess <br />S�.)���1� � 'I :iz9(� <br />CIIY ZIP <br />-+ �' �' ' .'. i = G. <br />iE�EVMONE NUMBEF qItERNAiE <br />/-�r�..� �8� 1171 <br />onr[ — <br />1978 <br />