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a <br />a <br />fl <br />n <br />rn � <br />� APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />Type or prnt clearly wlih ink <br />PRESS HARD - YOU ARE MAK�NG COPIES <br />PUBLIC WORKS <br />EVERETT, WASHINGTON PERMIT NO. ' <br />—_------ <br />APPLICANT (UNDERSIGNED) AND FIRM REPRESENTED, IF ANV: ���"�1/7� a� ihrY�iG��l/ . �'fJ <br />HEREBY APPLIES F PERMISSION TO— <br />i <br />L!- � r/,(/l.�c�i�J. .�i��%1 1G^ <br />AT T I G LOCATION —'" � --"� `'T'�'� <br />J � .�. _� <br />DRA ING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />i <br />( ' r r' . ' i �� I �' � <br />�rjr'J � ��rto� G�r�slq��� �i�4A�ks� <br />�,t � �.�s ��.. � �'f��►t �i 4J �'r <br />a 1�/�f�T � �� <br />� �..+ . . . c �.,�.� +h;�k -tc�� �..� <br />,�,� w.�..-�• . • <br />SZ �.k �c. s �eE . � k .�r <br />C � •s ••�•�1,�. �o:tal �� �+ — <br />!� au aq ��. w�t s�d �'�� <br />Y r�a.� �I sa� b�3` w <br />�,,t lo�.�.�+acl � �' Sf y <br />c,,�Aw�v s��d �� 's b,�. ? Cb.t�► a+�. S s� <br />� O `i�r 111� ✓a_ �J-F I <br />�N ^s ���rtl .�,. w�'l� 6�.� ✓�8 <br />. , 1�.'� i <br />. <br />. <br />� <br />� <br />��,� <br />� J / DRIVEWAY SECTION I <br />��� r <br />R IT IS VALID FOR 60 �AYS ' <br />� <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE. �30�� � _ _ _ I 30" <br />CALL FOR INSPECTION 259-881 1 -'t� <br />24 HOURS BEFORE COP!STRUCTION ihe un4er5igne0 owner hereby agrecs to hold an0 save harmless <br />SEwEn <br />onnirvnce <br />S1�EET <br />DEPARTMENT APPROVALS <br />coi.v,:unic <br />� <br />PL/ NNING <br />, L � . � ��-7 - 7 `�� <br />� qPPA FORCONSTH CTI N �A�E <br />� APPROVED AS CONSiRUCTED OAiE <br />Ihe City o� Eveieti Irum any and all claims lor aamages. cosis. <br />eapenses. or cBuses ol dcLon Ihat may anse ImcOuse vl inslnllalmn <br />an� maintenance ol �he improvemenl or olher nqhi-ul�way use <br />herelo appLed �or ;1ntl IurOicr agrees IU remove samr upon nobce <br />Irom ihe G�y ano �o re�l�c� pu�hC p�opertY d��magetl Ihereby <br />I vL.`l' , r` /.... <br />�y�l.� � � • - <br />���� a ���� � <br />�p'1 l,, i <br />`� r � ! / / <br />i /sK�ir % %� � isfH•ifI'4 // �f/ ; <br />SIGNFit1RC O� 4PI'L�CNIII <br />-�-'1.:.' r.::-, �izc./ <br />RDDRE55 <br />� .� Y��� <br />_ �' ,-� -�'/ 3,. =18�9- - _ -_ <br />��,� ` -_ � <br />_ - --- <br />. ,�, .y �.f-- � - - <br />rit� [ryl-.-. ii: � .,i�'1���'I <br />. 1 ��GV �OCT c.. i _. - . <br />�,uA oE E�;_ -! i <br />u <br />