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� � ' M <br />everen <br />Q APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />vType or prm� cleady with mk <br />PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON , PERMIT NO. � /S � <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: ��R L� �. � AVl S <br />HEREBYAPPLIESFORPERMISSIONTO L'�N�S�/1 PL �j �:ff AL'DN(� /eZD'W L7NA�iCl�O / <br />7ilZ���. �LI�e77��,' LOT r% S <br />� <br />AT THE FOLLOWING LOCATION ��T % {�7����fA�v;/Lt d LoT � '7V Z � C �itJh�FWY7U� �%j � (I � ��J, <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />40� <br />� � <br />,�!!�% <br />a� �A <br />P°��'� ,,,�/ �� -�° <br />�r,_ L <br />l- O�(/i'��� ( �%��t[vd�i� <br />�ry�� r � 0 ��J � r � ,�� . <br />V C'' pG�V �c� �f� <br />�-f,t 44 ���k P i 4�FJC <br />Di��'�N ��p��n� r„�r%� <br />_ o't'� � / <br />!�/���!i <br />('c�� S �'�r Ly��r�£,.�oa� �Riv= <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POS7ED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-681 1 <br />24 HOURS BEFORE CONSTRUCTION <br />EPARTMENT AP <br />STFEEi <br />� ✓�/7 <br />APPROVED POR CONST UC N � �,�t� <br />�. <br />/8 TU�Y 74 <br />AP . AS CONST UCTEO 04iE <br />��n�`�:�I���Q�1,1�..li��. �;Illl.l <br />r <br />� ��.� <br />� <br />' ���", / <br />, <br />�R�Fa,ti�� <br />DRIVEWAY SECTION <br />jl" LIP � <br />�30 _I _30� <br />The underslgnetl ownbr hereby agrees to holtl end save harmless <br />Ihe Ci�y ol Eveietl Irom eny ond all clnimrlor tlnmages. rosts. <br />e�penses. Or causes oi nction Ihat may ense becfluse ol mstallalion <br />anE mninlCnnnCe al IhC impwvement or other nghl�al-way use <br />hereio ap0��etl for and lurlher agrees to remove sdme uDon nobce <br />Irom ��e Giy an0 lo repl��e pubbC pr00erry EOmdgea Ihe�eby. <br />.i���^/�G-��' ""�CT. <br />y.��6�������a�,'L r/��r�/�,�/vd> �7�'� <br />ADOAESS <br />�U%��TT -�'j�ZO 3 <br />CIiV z�p <br />3ss-s9s�s .�SB-z6�f6 <br />iLlEvr�pNL NWdOER qITERNPIE <br />5-3-��. <br />�" <br />