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r <br />0 <br />'" �� <br />� <br />i� <br />9 everett <br />1� APPLIC�TION FOR REGFi�'-OF-WAY USE PERMIT <br />� Type or pnnt clearly w�lh ink <br />PRESS HARC -(OU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />-�G /.c-/� . <br />; � , <br />PERMIT NO. ��� 3a � <br />i <br />APPLICANT �UNDEPSIGNED) AND FIRM REPHESENTED, IF ANV:_ G�N/N /�p�iP_S =�jUs� <br />GCYI/ /? 'r� <br />HEREBY APPLIES FOR PEFiNISSION TO 1/7/ST.B�� aS �---� �R f✓CJ � IG/G <br />AT THE FOLLOWING LOCATION _— ___—. __—_ S J` L/ (7 6_f %� _/g.(/ F <br />DRAWING (WGRK TO BE DONE) OR THRCE PLANS ATTACHED: <br />* G�'/ST/,� d��! d�'1.lJh' % oi11 h'�J T%a S,� .��/s'lad�d� �.P�%''�'F-� , <br />/,v(TX f�-/ C_'/.�B�CIlr7�.� TD /1l%T�ff.�'�1'/ST/� CU2B�Y�"/�.`%z" ; <br />�t` /t/�l:J /�/l/GIiJ/f� Td .�� f�i�Ll�fi� T S��.E.O �9LT.C,C'�iPT� 2 <br />���/Lla d���P��,i9�c S � D����.� f��v2Y� ���1 Z"�� aecl <br />i%O%l` Td C'/TS/ ST�S L1J/ i/�' .��-/sjddZiY T.��%�5/T/dac.i <br />�v �.��s���� '�, <br />� flu�Y ro .�'�= i�J.�•eoll�� �o C/T% ST.b ���'�c/ B-,a'�" i <br />A P/� ��h' ,c�i9siitJ -rvP,E /- � aU/ TiY G/1's T',Pr�� s//.�-� .B� <br />i.21.5T.5'z.G��j yT Gr,a,�C S T.�i.rJ T D�I�P�•�'a//�/rl�� 7 <br />yL/�Y i�P•2od�iylc�lJi SN/�GG ,�XT�/!l� fi;e�/j-1 c.Y/s��/1/� <br />ft'S/�h'�G T d �C/ 3'� r'`f TD �(ll ,C'Th'�.E'G Y P���-,e i% 1 �ieJ� <br />�L�VC���2i w��I fe��0.c�. ` <br />i ( -. <br />c4r,�e....a� r_kr� a��c� �i-i-e✓ SPwe� � <br />w�a.�. �S re,��a.cc� i... iiv.�%. �7 •�� <br />P@RIWIT IS VALID FS�R 60 DAYS <br />COPY OF THIS APPLICATION TO BE FOSTED <br />ON JOBSITE. <br />CALL FOR iNSPECT10I�i 259-881 7 <br />24 F�OURS BEFORE CONS7RUCTION <br />- —�--- <br />,,EE�_ <br />ENT <br />DRIVEWAY SECTIUN <br />I � i I'� LIP <br />(�30" } �30" <br />i <br />T�e untlorsignetl owner hereby agrees to �oltl anU seve harmless <br />t�e City o� Everett Irom any end all claims lor Oamages. cosls. <br />erpenses. or causes o� action Ihat may ense because ol lnstallabon <br />antl mniNenanw o� t�e rmpmrement or o��cr rigM.ol-way use <br />nerelo appi�eE br ana luriher agrees lo mmove same upon nolme <br />imm Ih¢ C�Iy dnd lo re0lace public p�operly OPmagetl mereoy. <br />il;, �. ,� a�'� <br />//' i�/�/ <��� <br />e7���da.u�t or n�vnr, rt <br />1,� � S ,� � � <br />. J � ��^'.<r� � '.v �r J <, , c_/_J _ _ <br />,;..�.., - - <br />� <br />