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.- " <br />everen <br />� ApPLICATION FOR RIGiiT-OF-WdY i1S� PERM17 <br />Type or print cleady wrth ink <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS �G � <br />EVERETT,\YASHINGTUN PER�vfIT td0. � <br />-. , <br />APPLICANT (UNDERSIGNED) AND FIRM REPRFSENTED, IF ANV: � _-- — — <br />! 'i � �� !i.' 1/i : .� j' J.l <br />HEREBY APPLIES FOR PERiv11551C)N TO . +/ <br />AT THE FOLLOWING I.00ATION__ I �� � n %� � � � � x ' �' ! �� �� F <br />D. AWING (WORK YO BE DONE) OR THREE PLANS ATTACHED: <br />-- G��ss �.B '' �`iSf�1/A< � u�i rf�i� P�iB� �� ,pi�N r- a F- uJfl Y— <br />'— y,El d.^ k//� � A T f3�0�°t=seTY .[/,�Jt Tl� �3� fi' �-� ala F�iPD�'( <br />L���J ;.�:e � iitl� ,�LF ��J �c,ir� O� L�"�/.�JG � �n/ �9�'r -- <br />�.m'��- . <br />... . - <br />PERMiT YS VALID FOR 60 DAYS <br />COPY OF THlS APPLICA�ION TO BE POS7ED <br />ON JOBSITE. <br />CALL FQiR 9LN5PECTION 259-881 1 <br />24 HOURS BEFOR� CONSTRUCiION <br />v1ENT APPROVALS <br />DRIVEWAY SECTION <br />I" LIP <br />�30 � �30,� <br />T�e undersipnetl owntt hereUy ayrees lo hold end save harmless <br />Ihe City ot cvemit Iwm any end atl cl�ims lor damages. cosls, <br />n•penses. or causes ol aciion �hat may anse toCause ol inslallalion <br />�r�d ma�n�ennnce ol �he imnrovement or olher ri9n1-obwny u,e <br />nerelo apphe0 �or antl �urihrr agrees lo remwe Same u0un nol¢e <br />Irom tho C�ty antl lo replace pubLc pmperty �amagea Inere�y, <br />SIGNAiUR[ O� A['PLICANi � __ I ' <br />sra�e. — noonEss <br />� � <br />//Y / F �_ / )�j cirr -.. � � zic , . <br />( LE <br />APPRO ED FOR CONSTRUCT N onre � � ' <br />IEIEFNONE NUMdEP nLTc�W41E � <br />APPRVVED AS CONSTPUCTED �ATE �"�� <br />� � �'TtF'�i�"�-��. <br />Z-/��,(' ���_ � �E— — 1978 <br />