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� <br />� �/�b'�o7 <br />eve.en <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type Or print clearly wifh ink <br />PRESS HARD - YOU AFE MAKING COPIES <br />PUBUC WORK:' <br />EVERETT,WASHINGTON PFRMITNO. ��-�3 <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV� _���/J L L L f KI`�J C�[/'✓ ��jNTi�'ACT�S <br />✓ // � <br />HEREBV APPLIES FOR PERMISSION TO �' /rJV/UL f�j/�/l/ii/C7 /� C'f%/.�� � /7%,� %�L L EY _ <br />rr� �%niv.J.r � /NC� [i�'�2.l�Nd- ni.i�,L�Jrld !-)iI �y,vrr � � f3iL AP.- <br />, <br />AT THE FOLLOWING LOCATION "�� O� �/rfI/1IQ n✓C. CYCI��%�% 4%Q y�t0� <br />DRAWING (WORK TO BE DONE) OR THREE PIANS ATTACHED: <br />/�/JQ/C TD �/G li�/hf'C./!-i�z0 /ILpC�%/T..�.e�.�- 7Z� <br />��l✓i�,h0 �G/,�Oli �i%/aCl/,f0/ //LJJ.O.i�r— fG�' <br />ZJ � LJo✓i ,'/fi2�,✓a� s,�'LLE <br />PERMI� IS VA41D FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-861 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DRA�NAGE <br />WATER <br />StREET <br />DEPARTMENT APPF.OVALS <br />COMML1NICaii0N5 <br />ic <br />PLANNING <br />L�-�,�- �-z -:�� <br />APPRnV R CONSTR )CTION DnTE <br />� �L �-''G �/�`' � � <br />FOVE AS CON CTfi� � ' DnTE <br />/`(`...�T^� I`."���. � . , ^ r� �i� - <br />DRIVEWAY SECTION <br />I � <br />t" LIP - <br />I 30'��� / «I_30>' . '�, <br />f f <br />ihe undereigned owner �ereby agrees to hold an0 sare narmless <br />Ihe City of Everett Imm any antl all claims lor tlama�es. costs. <br />e�penses, or causes ol aclion Ihat may aiise because ol installalmn <br />and maintenance ol IhC �mprovemeni or Othpr nghl-0!-way ose <br />herelo apphed lor and lurihe� eyrees �o remove same upo� �olwe <br />Irom Ihe Ctly and lo ieplaze pubi¢ properiy Damaqetl mere�y. <br />��� ., r� -����aT� <br />SIGNAIURE Of APP�iCANi n � <br />����� /���Jl�t�„/ l <br />/+DORESS <br />Cv��� /.rJo. '�£�zo/ <br />��.. Z�� <br />� �9- ��� <br />iELE�MONE NUMHEF �LIENNATE <br />2/a��B/ — <br />on*c <br />� <br />.._ —_ _ - �ro <br />