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i <br />� everetl <br />�, � APPLICAT�OfV FOR RIGHT-OF-WAY USE PERMIT <br />Type or prml clearly wtlh mk <br />� PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON <br />n <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY' <br />HEREBY APPLIES FOR PERMISSION <br />0 <br />AT 7HE FOLLOWING�LOCATION <br />PERMIT NQ <br />�� ��� i 1, �, . . .L� <br />DRFlWING (�VORK T"J BE DONE) OR THREE PLANS ATTACHED: <br />� ..\ <br />,,�' \ `� �, , _ r, ; � '. ; �� > ( �. �, l � <br />i i' <br />... i .. Y `. <br />p <br />� � , <br />� <br />� .i��. <br />rl iG <br />, � .� _ � i ,.�, <br />i. ,, � .. <br />� I�o-�' Vv� o ��� ` <br />--}-�-e � ��.. � E-�a � I <br />as s�o w K o�-. ,(�e r'w,,� <br />; P�ge � te �s�-aL1 Q� �er- <br />d_7AmVc✓ P�ctv� — GG <br />�� � o�:s , d�► ��� ��- � ��j=�. ilP� <br />�' I' I� � .. -� <br />N n i::. 0• ,� "- �_ . r=uJ <br />,_., <br />�`�,�-� N <br />S�EFiMIT IS VALID FOR CO DAYS <br />i ���,�, 1,, � �_ r <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBS{TE. <br />CALL F()R INSPECTff7LY 259-881 9 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />pqNNPGE <br />i W4TEP �--- <br />SiREET <br />::oeu.+uHicnnoHs <br />iPAFFlC <br />PLANrLNC <br />�� � � �� � �� <br />APPpOVE�Ofi C NS RUCTION DATE <br />APPflOVED/SCONSTRUCTED DaTE <br />�. � ..,' II'.'.��F'...i�l:li�!.;i--�i�-^,��:-t1 <br />1 t /3�1� <br />r <br />� <br />DRIVEWAY SECTION <br />I'� LIP --- <br />� 30 30" <br />The JndCrsi(JneG ownC! hCreby e9ree5 10 hOltl �ntl Savf hplRlleSa <br />Ine City ol Everett Irom any and ail claims lor damages. costs. <br />eRpenses. or cavses ol aelion ihal may arise because ol insinllalion <br />an� mainlennnce o� �he impro�emenl o� o�he: n9�1-ubway use <br />ne�em appiied loi antl �����h�� agrcas tu remove samo upon no�ice <br />Irom ��e Gly and lo ieplate publm properly �mm�yetl �her¢by. <br />TELE�MONE�1A01 � � �/ / 1�• `l (�LEI,NA�� � �� <br />� 4\� �J) 1 �1 1' 1 __ <br />OniE <br />