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everett I <br /> Q APPLICATION FOR RiGHT-(�F-WAY USE PERM17 <br /> `' Type or p�int clearly wilh ink <br /> PRESS HARC - YOU ARE MAKING CO?IES <br /> PUBLIC WORKS <br /> EVERETT, WAShiINGTON PERMIT NO.'���7 <br /> A�PLICANT (UNDERSIGNED)AND FIRM REPRESEMTED, IF ANY: <br /> — / -— <br /> HEREBY APPLIES FOR ?ERMISSION TO �8��`'�1.Pi �� �'/iltiQ�/ /7�'����� — i�1� <br /> ! � T_ <br /> r ,+-�–,K- ,#Yu- �=r;-�� a � u.r� ,� <br /> � — — <br /> ,. �� `� � <br /> AT THE FOLLOWIN(3 LOCATION_�l/ '-�� ��� '��-���'-���-�� �'�.� __ <br /> 1 3_��_.�.. <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: � <br /> , <br /> _ �; � ' � <br /> ' � �� � i . -- � � _ „ , <br /> i <br /> I <br /> , 1 <br /> i <br /> I <br /> � <br /> � <br /> I <br /> � <br /> DRIVEWAY SECTION <br /> j PERMlT IS VALID FOR f0 DAYS � _______�� <br /> � COPY OF THIS APPLICATION T� BE POSTED � i" LIP l <br /> � ON JOBSITE. - � <br /> I 30" —T— � .30" I <br /> CALL FOR INSPECTION 259-881 1 I�- � —"i <br /> 24 HOURS 6EFORE CONSTRUCTION <br /> The unders�gnetl owner hereby agrees lo ho10 antl save nzrmb�ss <br /> Ihe Gty ol Evere�i Imm any antl all clelms lor damages. mei: <br /> e�penses.or causes ol aclion Ihnl mey arise 6ocausa o�installabnn <br /> nntl maimennnce of the impravrment or othcr righi-o�-w:�y . .� <br /> linrtqn apl�l�rd iu, outl inrlpr�r a9iru to ri ,vc s;�mr uPnn nut�� <br /> � nn <br /> IDEPAR?MENT APPROVA�S ,,., �,�� .��,, � � .,���, ,.����.� ��:,�,,.� , ,����.��,..,, ��„�� , <br /> I <br /> tii C.i�� COAIMUIJIC�ilONS <br /> p11N1lAGE TqqFRC <br /> '_ .�. . . .._ � '..�_ .. _.'.. .I <br /> W�i[I� PL�NNING SIGNAIUNLO� .�:'PIiLANI�--�-' ---- <br /> _ 3C;;� 1 J '�_4.._.�C�" 1 <br /> ��;meci neo��Ess --- <br /> 3_/ �� ('/) T •_:t_ i l._ '. � ` (`-,��J • <br /> zu• <br /> `P/ OV[D FOH NST iUCTION � uniE d v c�`JJ - ;')I�`� �, (p� (p 7:,� <br /> �' ��� // � IEIEPNONE NUMpER ALiE�NAiC -- <br /> � C�- 1- a 3-�1� �G <br /> - n oveu nsr,ons �uctr.o :v..r nn�E —" - - <br /> � � . � . i �,.t — ---�970 <br />