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u <br />everen <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or print clearly with mk <br />� PRESS HARD - YOU ARE MAKING COPIES <br />PUBLIC WORKS <br />EVERETT. WASHINGTON <br />PERMIT NO. - Z� <br />APPL�CANT (UNDERSIGNED) AND FIRM fiEPRESENTED, IF ANY: N811 Eshleman I3U11[�lfl COIiI &rl II1C. <br />. � � �•� s%�i�si!= _. <br />HEREBY APPLIES FOR PEPMISSION TO COf1StrUCt tW0 �i�� side 8BWgTS� extend 18" storm serer t0 property <br />line <br />ATTHEFOLLOWINGLOCATION W08t aide of 7800 block of Herdeson Road <br />DRAWING (WORK TO BE DONE) OR TMREE PLANS ATTACHED: <br />�` FD,e.�,�'7"�=.(/D//t,� sf�tJ/Th'.E'Y� siD.t.�ir? s�l,�JF.E',S <br />7'D �,c�o�°-f,�'Ty•G�/L�=S a�L% <br />� ���-s r�.�- ��io�� ���r�= �"�� P�,�� � <br />/ssui9�/�z= <br />� <br />A �.�/O.z° �a �,t'c°f-Jl�i9TiO.v uJ�Tf//.t/.���'T�Fl�y <br />�c�.rJT�9� T .c�/T.�ir',C�Cb �S /�c./.�-r� �a,� f� <br />C'o�21�� tl�T�G�rl ��"��.e,� � ) �� � <br />v' � �J" �° .� o�'� ,J� i <br />c a� S,� ,k f� �P,z��� <br />.3 g1' �� �� Pr. ��`�P"' pv� �8 <br />n�' U� <br />'� �� s�"" ��D� l.'� pi�, ��'`� c <br />��� � �i� `�P �,� �,I� �D � � ��� <br />G� ,� � 5 � �� ,�s ,��� <br />* �5I � A�Q��i o 5 �,��e�� � <br />� � P �' <br />� * <br />PERMIT IS VALID FOR 60 DAVS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. <br />CALL FOR INSPECTION 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />ENT APPROVAIS <br />� � �cT CA-,J.rsoFe�r? � <br />APPR VED AS(.UN$TqUCTED on*[ <br />� C�'/Ju�i�.e0 y , <br />CCNS � RUCTION/d <br />CIUIL <br />DRIVEWAY SECTION <br />I � � <br />i <br />r� j I" LIP , <br />i'-P�i- -�-30 �, <br />The untlersignetl owner hereby agrees lo holE ond seve harmless <br />the Ciry ol Evemll Irom eny end all claims for aameges. wsts. <br />expenses, or causes ol ection 1hn1 m2y anse because of ms�allation <br />entl maintenance OI Ihe imprOvfmCni or O�hCr ng�l�ol�way u5P <br />herelo avni�ea m� a�a i�nne� aqrces lo remove same upo� nobce <br />irom t�e Cily and lo �eplace pubhc pwperly tlamagetl Ihereby. <br />_i�£G�� G' ��eu�� G�1�..0'L <br />SIGNFiURE O� APNLICANi <br />617 idt�rlir 7_hnni�al Ruilr+y.p�_ <br />ADORE55 <br />Fva�n t� WA 9A901 <br />ciTv Zi� <br />959_711p <br />TELEPMONE NUMBER ALiERNAiE <br />7 !a/nn <br />onit <br />� <br />J <br />II <br />