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evereft <br />Q APPLICATION FUR RIGHT-OF-WAY USE PERMIT <br />vType or print clearly wtlh mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON 7�/� � � <br />� PERMIT NO. / % <br />APPLICANT (UNDERSIGNED) AND FIRM REPFESENTED. IF ANY: ���/{G(/F / � C-K/� • <br />HEREBY APPLIES FOR PERMISSION <br />E ) <br />AT THE FOLLOWING LOCATION �J �� U�• _���-2-�-4—"� <br />- �_ _ <br />DRAWING (WORK TO BE DOPfE) OR THREE PLANS ATTACHED: <br />PERMIT IS VALID F�R 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CE1LL. FOR INSPECTIOId 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />tiEWEH <br />DRMNAGE <br />Yra1EH <br />DEPARTMENT APPROVALS <br />COA1fdUNIC�I lOhti <br />tna�FiC <br />-PLANNING . <br />5,,:, �r <br />/, , <br />,�.. �-c_.Q �, I - j <br />PP O D FOR CO 1�UC ION om[ <br />� C ��` =�1� <br />n veo.s�nu �ieo� r.,*�� <br />DRivEWAY SECTiON <br />�----- w. <br />I" LIP l <br />� <br />`_ 30� 30" ' <br />r -�-- , <br />Tne untlersigned owner hereby agrees to ho10 anC save ha.rmn. <br />Ihe City oi Everelt Irom any and all claims lor tlamagea c.-� <br />expenses. or causes ol action I�a� rnay anse Oecaose of instau,u� � <br />�n�l m;pnlnn�nCC ol IItP im�nnp,q��nl Or o1M1pr n�hlTl-v:S� � <br />I�. � I. �... �i . � i ... . i �i ii.� ... i i ' <br />i � •��`�v'<: L <br />Yi �NFIIIRE � APPIJCAN� <br />� � � �IST Oti .!/C <br />nnnnEtiS / _ <br />�ie�/.1�� b�ic./- �j�.= � <br />ci*r ZiP <br />it�Lr��ON[ N 1�[u aUEaNarE — . <br />, ��� _ ���� ------ <br />� isi78 <br />