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. � <br /> everetl <br /> � APPLICATION FOR RIGHT-OF-WAY USE PEf;MIT <br /> Type or pnnt Uearly wtlh ink <br /> � PRESS HARD- YOJ ARE lv1AKIN� COPIES <br /> PUBLIC WORKS <br /> EVERETT.WASHINGTON PERMIT NO. , Z <br /> APPLICANT (UNDEFSI6NED)AND FIRM REPRESENT'D, IP ANY:_'�.� � �� : 1 -� �:�11 ! L <br /> i i.i I� � <br /> HEREBYAPPLIESFORPERMISSIONTO � ' �`� � /. �/�" -i -�tJ � `J/!/-'.��5 :ni !�-i•i - _ I <br /> . /�. � 1: ' i f " i;i -� 1 %i V �� �� �: �) ! ' � I <br /> .. �' � :. - � � �� I <br /> i <br /> AT THE FOLLOWING LOCATION_7/iJ �Y �J F%� ��:,'1 // �✓ - ' I <br /> DRAWING (WORK TO BE DONE) OR THREE PLONS ATTACHEU: <br /> �j'�'^�� A Y'�.1A�'...,�.��. . If j.��n�P .. �� �r.� �f�'� .���µf N Y,�'� I <br /> � �� <br /> T „r <br /> I <br /> I <br /> I <br /> I <br /> � <br /> � <br /> � <br /> i <br /> i <br /> � <br /> � II� <br /> DRIVEWAY SECTION <br /> PERMIT IS llALID FOR 60 DAYS � _._ _ <br /> COPY OF THIS APPLICATION TO BE POSTED i�� �ip 71 � <br /> ON JOBSITE. I � � I I <br /> CALL FdR INSPECTION 259-881 S �_.30" 3_Oyj i <br /> 24 HOURS BEFORE CONSTRUCTIOti i <br /> Tne undersigned owner hereby agrees ro holtl antl save harmiess <br /> IM1c City ol Evere�t �mm any and all claims lor damages. cosls. <br /> prpCII5C5,OI Ld115C5 0�dLIi00 Ihdl ffldy dlISC hCLdU5130�IPSldlldiiOfl <br /> nn� mantennnce oi Ihe improvm»en� or olhur ngM1l-ol-way use <br /> norMo oppLe�lor nnd lurl�er ogr¢es' lo remove same upon nohcv <br /> honi Ilir CitY an�1 lo irplace I�ubi�c tnol�erty anma9etl Inem�v <br /> DEPARTMENT APPROVALS - <br /> . .... GOlAMUNiGA�iIN, � I <br /> I����AMAGE iRAFRC /��� / —��/ I <br /> �D \/� � "y I <br /> A�� l'1'� /�G�!J� 1 <br /> .1cR VU NNiNG �if�iu�E O�Av��uCnNi <br /> .iRCET AO�L�J /�� //_��//O� I <br /> /_ ��� ,. f��A/ �� �Di <br /> orv�� �- ziv . <br /> nVPROVED FOR CONSTRUCTION oniE !� '- / - �(�Z z <br /> � J <br /> i IEPMONE NUMUE�� r1L1ERNPlE <br /> /- �0 - 7% <br /> �:P{'�.��Vf[)f�Slr�.y`,I:�UCILI: DFiE OATE <br /> . .—_.. — __ __--- <br /> '— — — 1978 <br />