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p <br />everen <br />Q APPLICATION �FOR RIGHT-OF-WAY USE PERMIT <br />v Type pr pnnt cleetly wi�h mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. G� �� - <br />APPLICANT (UNDERS:GNED) AND FIRM REPRESENTED, IF ANV:� h�Y� G!'-vs.-2.,e�y�_�,�_�]'G <br />HEREBV APPLIES FOR PERMISS�ON <br />AT THE FOLLOWING LOCATION — � / �� T � S=-! �"�1�,(�!�� �`�2 ' <br />DRAWING (W�:riK TO BE DONE) OR THREE PLANS ATTACHED: 7����� �-L4-�U <br />'T. . � <br />/ �� � ... � „t/� (i'J �, f � � � • .v�. � � : / � . __{ y,� ' � �, ,y.. � , L: /' c-r�-�� <br />iP'._ ! <br />�; <br />` :" `� <br />�•--rl,,�j i r�'lfl•� u/—rF�,(� !,.-� J--: ..--�_t.'J.-�il. �"rt T-�-I�` /'Lv K/� !J- Lv`"zc'"L <br />� �; �- � �1 d. <br />' � � ��1, ,. �; �.�� -ff c ��--� : C���, : ,._ <br />� �- �� ����. <br />�r`�t—� i�--G���'-a Zl_� -,u �<::. L� �lc. ,�; ,. �Z7�u��'� �!.�--��.. <br />� � <br />, � � '�J <br />�� -� /Q ,;. � � <br />�� <br />PERMIT IS VALID FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CqLL FOR lNSPECTIOM 259-881 1 <br />24 HUURS BEFORE CONSTRUCTION <br />:E W Ei <br />ORqINFGE <br />WATER <br />DEPARTMENT APPROVALS <br />COI.R.IUYICAIIONS <br />FLANNING <br />i1NcGT <br />��- � �-e.0�,.�. �� - � 5 - �l (�� <br />4PR(�i:VE�FO �ON`diNUCTION OAiE <br />� � � � i� S� �- �� <br />AP D AS NSTRIJCTED �on1E <br />'.�V:VJII'fIJ'�.IIUIV/H:JLSUIL I <br />DRIVEWAY SECTION <br />�r I'� LIP —� <br />30" _ I_ 30'� <br />-r�— <br />TM1e under5igno0 owner �ereb� agreas to holtl an0 savc harmless <br />Ine Ciry of Everett irom any and all cleims lor Camages, msls. <br />exVrnses. or causes ol acbon Ihal may anse because ol installalmn <br />antl main�enance ol ��e improvumen� oi ol�er nt�M1l-o�-way use <br />herelo avvhea lor antl lunne� a�rces io remwe same upen nohce <br />Irom Ihe Ciiy and Ir, iupince puOLc property damagM Ihereby. <br />�ifi.�%�:.,. 9� �...�.� <br />siGUArune oF nnn�icnr�i <br />i,� '� 5 r <br />S�NIP N rry e�H��roo.,+.E I <br />'� i <br />`-L <br />L-�cv�7!` � <br />LELEYHONE NUMf1CP ALICRNAiE <br />�s' 3 - 92 7� __ <br />pAiE <br />rtt—__—_ ._ __ . _. <br />1978 <br />