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rveren <br />Q APPLICATIO�I FOR RIGHT-OF-WAY t1�E PERMIT <br />� Type or priN clearl7 wdh mk <br />_� PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. '��35 O <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY. <br />HEREBY APPLIES FOR PERMISSION <br />ATTHEFOLLOWINGLOCATION `�ZO � � � MA/� `ST• L'(/E�C�C✓A• 9b'2D3 <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />(/�'.v J �Tic �/ 5 .' <br />� / �IpWiJ.t lrl�//ilO.a�r�/i �- l�/�� /�CrrG ! Oil S //i �LCi /`//4-�C� //LLi '-, <br />�////�.4�C U/iJ/if � ✓ i . <br />i � �-eZcou��t i/sdid./r-i r��f,�•V TJ ('uivT.l.n/ �uniUr"� <br />�' � f�1uw�Ji /2•� (lvv�d�ir�� f�ii%L C.nids'il //eC.� �C /J//✓ <br />� <br />I /l/�i�/IOr/ Uh� S , <br />f�/iU✓, iJ,_ (c •, /�s 2'�;�,1 ��,'� O i�ii�� �!y�/ii�O /1Uci�.:.t � <br />� � TD i�uV�J.r'�T TJ CJrS �Z �%�l�ivC�I..":.,= iiV .CJQGJ.J . <br />� f�f/UUi�9�� �lC[ l��i�/ii/r�.L I�i1�UiNC- 4�..l�=ilC'/� <br />T� % ih � 2 1 T y i�� tZ �'. t3 , <br />/j� ���./�N�/C�_:_ �p r�., /i�SCi/ li7c-60 ili rviiTuil�/LCr <br />v <br />�'C.CCt/I/Li�l�- LGCiIi/U�✓, <br />PERMIT IS VALID FOR 60 DAV� <br />COPY OF TH15 APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR ITISPECTION 259-881 1 <br />2q "rivu^n� BEFnRE CONSTRUCTION <br />DPnINr1GE <br />i i H[ET <br />DEPARTMENT APPROVALS <br />-mM��uaicnliorvs � <br />inniv�C <br />PLANNING <br />�Z���-� � /0�7_ 2. �.�D <br />nVPROVEDFOF ONSTRUC110N - " oA�' <br />��� .�%" � _%� �.. <br />n PFf� OV�D'ASCON3TaUCI��--� nnit � —� <br />. . � ic ���. . � <br />DRIVEWAY SECTIOrv <br />i <br />� —� <br />jI„ LIP <br />�30' _�_30" <br />r-�;---- � <br />The undersignetl owoer hereby a9ree5 to hold antl save harmless � <br />Ihe Cily ol Evere�t imm any antl .�1 claims lor tlamages. costs. <br />oepenSeA or causes ol aclion �hni ma� 2nse because ol inslallalion i. <br />antl maiNenanCe ol l��e imprrn�emen( or other nghl-ol-way u5e �, <br />nerelo apphed lor antl �ur�M1er a9rces to-�emove same upon no�¢c i <br />Irpm Ilie City antl to replace pub��c p�p0erty dama9el� IM1e�eby. �. <br />`•� II <br />� I <br />� `��"-�_1 <br />�-C�o �� � ` �i� <br />,4 r� <br />� u r� r • �,�n ' �� �'4-' — , ltLy <br />Y $�GNAlUt1E O� \VPL�Cf�M � I <br />r.� <br />1-�� ���'%�'0./ l'iCl lV ��.�-� , <br />AOD�ESS : / i <br />� �- � '�' � (,l�u 7����� � I <br />\ <br />Crtv Ziv i <br />/� � 2 - O9`/ y�_ <br />. C �' � i L/ J i <br />tc�E�Norvi�+uMpoe�� nt*Enr�nrE � <br />y r c C' �- -- __-- _ I <br />pAif <br />_. _ _"—_ <br />_—__-__._— _. —__..._ i97ft <br />� <br />