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I everetl <br />� � APPLICQTION FOR �iiGHT-GF-WAY USE PEf�MIT <br />Typ�e or prinl cleady with nk <br />PRESS HAAD - YOU ARE MAKIWG COPIES <br />PUBLIC WORKS / <br />EVERETT, WASHINGTON PERMIT NO. ���/4�2 <br />APPLICAN? (UNPERSIGNED) AfJD FIRM REFRESENTC7, IF ANV: `^ 1 G� C L� i/ 1( �i �y. N P C�� IV <br />I HERESY APPLIES FOR PERMISSION TO <br />I Q V l' � \ <br />AT THE FOLLOWING <br />' DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />I � �� <br />' ���_� � c�.�.l <br />� �.-v� C�.-� `\ <br />�1��I- �n I����� M, �) co v� �, <br />� <br />�� IP� �', �� G-� �Y� �� � <br />5��� S.�`'.�' <br />l�ERMI'�' IS �JBiLID F'O�7 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />(}��t JOBSITE. <br />CA�L FOIi IPDa''P�CTION 259-88t 11 S <br />24 HOURS BEFURE CONSTRUCTION <br />SEwE� <br />ONFINAGE <br />DEPARTMENT APPROVALS <br />co�.n:�uwcnnoHs <br />PLANNING <br />/� /(/ -y--- <br />/ /'-/L�1/ ��/1 1ii <br />�L�.�._r_ <br />APPFG'�LDF CONS RUCiI� � �rE <br />- o,��,��-f�/� �i <br />CONSTRUCiION/AS 6UIL7 <br />r ,u',re�i <br />�E� ,,� � v � � <br />� <br />DRIVEWAY SECTION <br />I _— —� <br />�_... f I" LIP _� <br />30" _ �30" <br />The unaersipned ownvr hereby agrecs to holtl and save harmiess <br />tne City o/ Everell irom any and nll claims lor aamages, cosls. <br />ex�mses. oi causes ol aqion Ihal may anse because of inslallabon <br />and mamimance ol ihe improvemenl or other ngM-obway use <br />herelo a�plin0 br and fu��hcr agrees lo remove same upon nol¢e <br />Irom Ihe Gry ano �o replaze Cubtic proV���Y 4��na9e0 mere�y. <br />35�� ��1�4 �S'� �uby <br />rE�Er��orrEr�uMeEn nitEFrvni — <br />�"'r��-�` 1q�D _ <br />on*e <br />